How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $30.20 Median $50.12 Typical High $52.48 | Facility | None | $30.20 | $50.12 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $50.12 Typical High $53.70 | Professional | None | $30.20 | $50.12 | $53.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $58.88 Median $95.50 Typical High $100.00 | Facility | None | $58.88 | $95.50 | $100.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $43.65 Median $45.71 Typical High $63.10 | Professional | None | $43.65 | $45.71 | $63.10 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $37.15 Median $37.15 Typical High $48.98 | Professional | UE · Used equipment | $37.15 | $37.15 | $48.98 |
CareSource Setting Facility Modifier None Typical Low $60.26 Median $85.11 Typical High $134.90 | Facility | None | $60.26 | $85.11 | $134.90 |
CareSource Setting Professional Modifier None Typical Low $93.33 Median $117.49 Typical High $151.36 | Professional | None | $93.33 | $117.49 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $63.10 Typical High $128.82 | Facility | None | $56.23 | $63.10 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $56.23 Typical High $457.09 | Professional | None | $41.69 | $56.23 | $457.09 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $70.79 | Professional | None | $60.26 | $60.26 | $70.79 |
United Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
United Setting Professional Modifier None Typical Low $30.90 Median $42.66 Typical High $61.66 | Professional | None | $30.90 | $42.66 | $61.66 |
5 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.89 Median $25.12 Typical High $26.92 | Professional | 52 · Reduced service | $20.89 | $25.12 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $10.00 Typical High $10.72 | Professional | 53 · Discontinued | $8.32 | $10.00 | $10.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $7.59 Typical High $7.94 | Professional | 55 · Aftercare only | $6.17 | $7.59 | $7.94 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.17 Median $5.01 Typical High $5.37 | Professional | 56 · Pre-op care only | $4.17 | $5.01 | $5.37 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $4.90 Median $4.90 Typical High $4.90 | Professional | RR · Rental | $4.90 | $4.90 | $4.90 |
Where Kentucky sits
The same service costs 2.6 times more in Kansas than in Arizona. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Kentucky· 49th of 51
$45.71
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.