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 $181.97 Median $263.03 Typical High $275.42 | Facility | None | $181.97 | $263.03 | $275.42 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $275.42 Typical High $389.05 | Professional | None | $213.80 | $275.42 | $389.05 |
Anthem BCBS Setting Facility Modifier None Typical Low $316.23 Median $512.86 Typical High $537.03 | Facility | None | $316.23 | $512.86 | $537.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $234.42 Median $302.00 Typical High $338.84 | Professional | None | $234.42 | $302.00 | $338.84 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $223.87 Median $229.09 Typical High $229.09 | Professional | UE · Used equipment | $223.87 | $229.09 | $229.09 |
CareSource Setting Facility Modifier None Typical Low $323.59 Median $446.68 Typical High $724.44 | Facility | None | $323.59 | $446.68 | $724.44 |
CareSource Setting Professional Modifier None Typical Low $501.19 Median $630.96 Typical High $794.33 | Professional | None | $501.19 | $630.96 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $758.58 | Facility | None | $346.74 | $346.74 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $346.74 Typical High $2,691.53 | Professional | None | $251.19 | $346.74 | $2,691.53 |
Molina Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $380.19 | Professional | None | $316.23 | $316.23 | $380.19 |
United Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $251.19 | Facility | None | $173.78 | $173.78 | $251.19 |
United Setting Professional Modifier None Typical Low $169.82 Median $251.19 Typical High $389.05 | Professional | None | $169.82 | $251.19 | $389.05 |
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 $107.15 Median $138.04 Typical High $194.98 | Professional | 52 · Reduced service | $107.15 | $138.04 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $54.95 Typical High $77.62 | Professional | 53 · Discontinued | $42.66 | $54.95 | $77.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $41.69 Typical High $58.88 | Professional | 55 · Aftercare only | $31.62 | $41.69 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $27.54 Typical High $38.90 | Professional | 56 · Pre-op care only | $21.38 | $27.54 | $38.90 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | RR · Rental | $30.20 | $30.20 | $30.20 |
Where Kentucky sits
The same service costs 2.9 times more in Iowa than in Kansas. 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· 39th of 51
$302
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.