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 $22.91 Median $54.95 Typical High $54.95 | Facility | None | $22.91 | $54.95 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $54.95 Typical High $54.95 | Professional | None | $22.91 | $54.95 | $54.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.02 Median $25.12 Typical High $25.12 | Professional | None | $12.02 | $25.12 | $25.12 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2.51 Median $2.51 Typical High $2.51 | Professional | RR · Rental | $2.51 | $2.51 | $2.51 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | UE · Used equipment | $18.62 | $18.62 | $18.62 |
CareSource Setting Facility Modifier None Typical Low $18.20 Median $25.70 Typical High $40.74 | Facility | None | $18.20 | $25.70 | $40.74 |
CareSource Setting Professional Modifier None Typical Low $26.92 Median $33.88 Typical High $45.71 | Professional | None | $26.92 | $33.88 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $12.59 Typical High $64.57 | Facility | None | $12.59 | $12.59 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $22.39 | Professional | None | $10.72 | $10.72 | $22.39 |
Molina Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $21.88 | Professional | None | $20.89 | $20.89 | $21.88 |
United Setting Professional Modifier None Typical Low $8.91 Median $13.18 Typical High $21.88 | Professional | None | $8.91 | $13.18 | $21.88 |
2 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 $3.47 Median $8.32 Typical High $8.32 | Professional | 55 · Aftercare only | $3.47 | $8.32 | $8.32 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.29 Median $5.50 Typical High $5.50 | Professional | 56 · Pre-op care only | $2.29 | $5.50 | $5.50 |
Where Kentucky sits
The same service costs 3.5 times more in North Dakota than in Oklahoma. 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· 21st of 51
$20.89
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.