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 $56.23 Median $79.43 Typical High $79.43 | Facility | None | $56.23 | $79.43 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $79.43 Typical High $141.25 | Professional | None | $56.23 | $79.43 | $141.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $97.72 Median $154.88 Typical High $165.96 | Facility | None | $97.72 | $154.88 | $165.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $72.44 Median $91.20 Typical High $102.33 | Professional | None | $72.44 | $91.20 | $102.33 |
CareSource Setting Facility Modifier None Typical Low $100.00 Median $138.04 Typical High $223.87 | Facility | None | $100.00 | $138.04 | $223.87 |
CareSource Setting Professional Modifier None Typical Low $154.88 Median $190.55 Typical High $245.47 | Professional | None | $154.88 | $190.55 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $229.09 | Facility | None | $100.00 | $100.00 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $100.00 Typical High $812.83 | Professional | None | $72.44 | $100.00 | $812.83 |
Molina Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $117.49 | Professional | None | $97.72 | $97.72 | $117.49 |
United Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $75.86 | Facility | None | $60.26 | $60.26 | $75.86 |
United Setting Professional Modifier None Typical Low $51.29 Median $75.86 Typical High $117.49 | Professional | None | $51.29 | $75.86 | $117.49 |
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 $28.18 Median $39.81 Typical High $70.79 | Professional | 52 · Reduced service | $28.18 | $39.81 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $15.85 Typical High $28.18 | Professional | 53 · Discontinued | $11.22 | $15.85 | $28.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $12.02 Typical High $21.38 | Professional | 55 · Aftercare only | $8.32 | $12.02 | $21.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.62 Median $7.94 Typical High $14.13 | Professional | 56 · Pre-op care only | $5.62 | $7.94 | $14.13 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | RR · Rental | $9.33 | $9.33 | $9.33 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | UE · Used equipment | $69.18 | $69.18 | $69.18 |
Where Kentucky sits
The same service costs 2.9 times more in Montana 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
$91.20
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.