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 $79.43 Median $112.20 Typical High $112.20 | Facility | None | $79.43 | $112.20 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $112.20 Typical High $218.78 | Professional | None | $79.43 | $112.20 | $218.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $138.04 Median $223.87 Typical High $234.42 | Facility | None | $138.04 | $223.87 | $234.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $102.33 Median $131.83 Typical High $147.91 | Professional | None | $102.33 | $131.83 | $147.91 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $97.72 Median $100.00 Typical High $100.00 | Professional | UE · Used equipment | $97.72 | $100.00 | $100.00 |
CareSource Setting Facility Modifier None Typical Low $141.25 Median $194.98 Typical High $316.23 | Facility | None | $141.25 | $194.98 | $316.23 |
CareSource Setting Professional Modifier None Typical Low $218.78 Median $269.15 Typical High $346.74 | Professional | None | $218.78 | $269.15 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $346.74 | Facility | None | $141.25 | $141.25 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $141.25 Typical High $1,230.27 | Professional | None | $102.33 | $141.25 | $1,230.27 |
Molina Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $165.96 | Professional | None | $138.04 | $138.04 | $165.96 |
United Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $158.49 | Facility | None | $144.54 | $144.54 | $158.49 |
United Setting Professional Modifier None Typical Low $72.44 Median $109.65 Typical High $165.96 | Professional | None | $72.44 | $109.65 | $165.96 |
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 $39.81 Median $56.23 Typical High $109.65 | Professional | 52 · Reduced service | $39.81 | $56.23 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $22.39 Typical High $43.65 | Professional | 53 · Discontinued | $15.85 | $22.39 | $43.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $16.98 Typical High $32.36 | Professional | 55 · Aftercare only | $11.75 | $16.98 | $32.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $11.22 Typical High $21.88 | Professional | 56 · Pre-op care only | $7.94 | $11.22 | $21.88 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | RR · Rental | $13.18 | $13.18 | $13.18 |
Where Kentucky sits
The same service costs 3.7 times more in Hawaii than in Florida. 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· 38th of 51
$132
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.