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 $218.78 Median $309.03 Typical High $354.81 | Facility | None | $218.78 | $309.03 | $354.81 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $309.03 Typical High $691.83 | Professional | None | $218.78 | $309.03 | $691.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $436.52 Median $707.95 Typical High $741.31 | Facility | None | $436.52 | $707.95 | $741.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $288.40 Median $354.81 Typical High $467.74 | Professional | None | $288.40 | $354.81 | $467.74 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | RR · Rental | $41.69 | $41.69 | $41.69 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $269.15 Median $309.03 Typical High $309.03 | Professional | UE · Used equipment | $269.15 | $309.03 | $309.03 |
CareSource Setting Facility Modifier None Typical Low $446.68 Median $616.60 Typical High $1,000.00 | Facility | None | $446.68 | $616.60 | $1,000.00 |
CareSource Setting Professional Modifier None Typical Low $691.83 Median $870.96 Typical High $1,096.48 | Professional | None | $691.83 | $870.96 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $977.24 | Facility | None | $380.19 | $380.19 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $380.19 Typical High $3,467.37 | Professional | None | $275.42 | $380.19 | $3,467.37 |
Molina Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $524.81 | Professional | None | $436.52 | $436.52 | $524.81 |
United Setting Professional Modifier None Typical Low $229.09 Median $346.74 Typical High $457.09 | Professional | None | $229.09 | $346.74 | $457.09 |
2 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 55 · Aftercare only Typical Low $38.90 Median $46.77 Typical High $104.71 | Professional | 55 · Aftercare only | $38.90 | $46.77 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.30 Median $30.90 Typical High $69.18 | Professional | 56 · Pre-op care only | $26.30 | $30.90 | $69.18 |
Where Kentucky sits
The same service costs 3.7 times more in Alaska than in Delaware. 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· 43rd of 51
$355
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.