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 $371.54 Median $371.54 Typical High $407.38 | Facility | None | $371.54 | $371.54 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $407.38 Typical High $707.95 | Professional | None | $371.54 | $407.38 | $707.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $446.68 Median $724.44 Typical High $758.58 | Facility | None | $446.68 | $724.44 | $758.58 |
Anthem BCBS Setting Professional Modifier None Typical Low $331.13 Median $398.11 Typical High $478.63 | Professional | None | $331.13 | $398.11 | $478.63 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | UE · Used equipment | $316.23 | $316.23 | $316.23 |
CareSource Setting Facility Modifier None Typical Low $457.09 Median $645.65 Typical High $1,023.29 | Facility | None | $457.09 | $645.65 | $1,023.29 |
CareSource Setting Professional Modifier None Typical Low $707.95 Median $891.25 Typical High $1,148.15 | Professional | None | $707.95 | $891.25 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $1,023.29 | Facility | None | $562.34 | $562.34 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $562.34 Typical High $3,630.78 | Professional | None | $407.38 | $562.34 | $3,630.78 |
Molina Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $512.86 | Professional | None | $426.58 | $426.58 | $512.86 |
United Setting Professional Modifier None Typical Low $234.42 Median $354.81 Typical High $512.86 | Professional | None | $234.42 | $354.81 | $512.86 |
3 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 $54.95 Median $61.66 Typical High $107.15 | Professional | 55 · Aftercare only | $54.95 | $61.66 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $40.74 Typical High $70.79 | Professional | 56 · Pre-op care only | $37.15 | $40.74 | $70.79 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | RR · Rental | $42.66 | $42.66 | $42.66 |
Where Kentucky sits
The same service costs 2.6 times more in Hawaii than in New Jersey. 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· 39th of 51
$407
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.