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 $57.54 Median $83.18 Typical High $83.18 | Facility | None | $57.54 | $83.18 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $83.18 Typical High $158.49 | Professional | None | $57.54 | $83.18 | $158.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $102.33 Median $162.18 Typical High $169.82 | Facility | None | $102.33 | $162.18 | $169.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $74.13 Median $95.50 Typical High $107.15 | Professional | None | $74.13 | $95.50 | $107.15 |
CareSource Setting Facility Modifier None Typical Low $104.71 Median $144.54 Typical High $229.09 | Facility | None | $104.71 | $144.54 | $229.09 |
CareSource Setting Professional Modifier None Typical Low $158.49 Median $199.53 Typical High $257.04 | Professional | None | $158.49 | $199.53 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $245.47 | Facility | None | $100.00 | $100.00 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $100.00 Typical High $891.25 | Professional | None | $72.44 | $100.00 | $891.25 |
Molina Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $123.03 | Professional | None | $102.33 | $102.33 | $123.03 |
United Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $107.15 | Facility | None | $102.33 | $102.33 | $107.15 |
United Setting Professional Modifier None Typical Low $52.48 Median $79.43 Typical High $123.03 | Professional | None | $52.48 | $79.43 | $123.03 |
6 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 $28.84 Median $41.69 Typical High $79.43 | Professional | 52 · Reduced service | $28.84 | $41.69 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $16.60 Typical High $31.62 | Professional | 53 · Discontinued | $11.48 | $16.60 | $31.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $12.30 Typical High $23.99 | Professional | 55 · Aftercare only | $8.71 | $12.30 | $23.99 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $8.32 Typical High $15.85 | Professional | 56 · Pre-op care only | $5.75 | $8.32 | $15.85 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $9.55 Median $9.55 Typical High $9.55 | Professional | RR · Rental | $9.55 | $9.55 | $9.55 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | UE · Used equipment | $72.44 | $72.44 | $72.44 |
Where Kentucky sits
The same service costs 4.1 times more in Hawaii 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· 37th of 51
$95.50
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.