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 $34.67 Median $50.12 Typical High $58.88 | Facility | None | $34.67 | $50.12 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $54.95 Typical High $95.50 | Professional | None | $34.67 | $54.95 | $95.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $61.66 Median $97.72 Typical High $102.33 | Facility | None | $61.66 | $97.72 | $102.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $44.67 Median $57.54 Typical High $64.57 | Professional | None | $44.67 | $57.54 | $64.57 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | UE · Used equipment | $43.65 | $43.65 | $43.65 |
CareSource Setting Facility Modifier None Typical Low $63.10 Median $87.10 Typical High $141.25 | Facility | None | $63.10 | $87.10 | $141.25 |
CareSource Setting Professional Modifier None Typical Low $95.50 Median $120.23 Typical High $154.88 | Professional | None | $95.50 | $120.23 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $151.36 | Facility | None | $60.26 | $60.26 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $60.26 Typical High $537.03 | Professional | None | $43.65 | $60.26 | $537.03 |
Molina Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $74.13 | Professional | None | $61.66 | $61.66 | $74.13 |
United Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $67.61 | Facility | None | $64.57 | $64.57 | $67.61 |
United Setting Professional Modifier None Typical Low $33.11 Median $47.86 Typical High $74.13 | Professional | None | $33.11 | $47.86 | $74.13 |
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 $20.42 Median $27.54 Typical High $47.86 | Professional | 52 · Reduced service | $20.42 | $27.54 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $10.96 Typical High $19.05 | Professional | 53 · Discontinued | $8.13 | $10.96 | $19.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $8.13 Typical High $14.45 | Professional | 55 · Aftercare only | $6.17 | $8.13 | $14.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $5.50 Typical High $9.55 | Professional | 56 · Pre-op care only | $4.07 | $5.50 | $9.55 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | RR · Rental | $5.75 | $5.75 | $5.75 |
Where Kentucky sits
The same service costs 3.6 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· 34th of 51
$57.54
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.