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 $29.51 Median $46.77 Typical High $47.86 | Facility | None | $29.51 | $46.77 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $29.51 Median $46.77 Typical High $89.13 | Professional | None | $29.51 | $46.77 | $89.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $57.54 Median $93.33 Typical High $97.72 | Facility | None | $57.54 | $93.33 | $97.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $42.66 Median $48.98 Typical High $60.26 | Professional | None | $42.66 | $48.98 | $60.26 |
CareSource Setting Facility Modifier None Typical Low $58.88 Median $81.28 Typical High $131.83 | Facility | None | $58.88 | $81.28 | $131.83 |
CareSource Setting Professional Modifier None Typical Low $91.20 Median $114.82 Typical High $144.54 | Professional | None | $91.20 | $114.82 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $125.89 | Facility | None | $50.12 | $50.12 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $37.15 Median $50.12 Typical High $446.68 | Professional | None | $37.15 | $50.12 | $446.68 |
Molina Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $69.18 | Professional | None | $57.54 | $57.54 | $69.18 |
United Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
United Setting Professional Modifier None Typical Low $30.20 Median $45.71 Typical High $61.66 | Professional | None | $30.20 | $45.71 | $61.66 |
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 $19.50 Median $23.44 Typical High $44.67 | Professional | 52 · Reduced service | $19.50 | $23.44 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $9.33 Typical High $17.78 | Professional | 53 · Discontinued | $7.76 | $9.33 | $17.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.75 Median $7.08 Typical High $13.49 | Professional | 55 · Aftercare only | $5.75 | $7.08 | $13.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.89 Median $4.68 Typical High $8.91 | Professional | 56 · Pre-op care only | $3.89 | $4.68 | $8.91 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $5.50 Median $5.50 Typical High $5.50 | Professional | RR · Rental | $5.50 | $5.50 | $5.50 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | UE · Used equipment | $40.74 | $40.74 | $40.74 |
Where Kentucky sits
The same service costs 2.8 times more in Kansas 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· 40th of 51
$48.98
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.