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 $13.18 Median $16.60 Typical High $16.60 | Facility | None | $13.18 | $16.60 | $16.60 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $16.60 Typical High $23.99 | Professional | None | $13.49 | $16.60 | $23.99 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.42 Median $32.36 Typical High $33.88 | Facility | None | $20.42 | $32.36 | $33.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.79 Median $16.98 Typical High $25.70 | Professional | None | $14.79 | $16.98 | $25.70 |
CareSource Setting Facility Modifier None Typical Low $20.89 Median $28.84 Typical High $45.71 | Facility | None | $20.89 | $28.84 | $45.71 |
CareSource Setting Professional Modifier None Typical Low $31.62 Median $39.81 Typical High $51.29 | Professional | None | $31.62 | $39.81 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $43.65 | Facility | None | $25.12 | $25.12 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $25.12 Typical High $141.25 | Professional | None | $21.38 | $25.12 | $141.25 |
Molina Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $22.91 | Professional | None | $19.05 | $19.05 | $22.91 |
United Setting Professional Modifier None Typical Low $10.47 Median $15.85 Typical High $21.88 | Professional | None | $10.47 | $15.85 | $21.88 |
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 $6.76 Median $8.32 Typical High $12.02 | Professional | 52 · Reduced service | $6.76 | $8.32 | $12.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $3.31 Typical High $4.79 | Professional | 53 · Discontinued | $2.69 | $3.31 | $4.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.04 Median $2.45 Typical High $3.55 | Professional | 55 · Aftercare only | $2.04 | $2.45 | $3.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.35 Median $1.66 Typical High $2.40 | Professional | 56 · Pre-op care only | $1.35 | $1.66 | $2.40 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2.09 Median $2.51 Typical High $2.51 | Professional | RR · Rental | $2.09 | $2.51 | $2.51 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $15.85 Median $18.62 Typical High $18.62 | Professional | UE · Used equipment | $15.85 | $18.62 | $18.62 |
Where Kentucky sits
The same service costs 2.1 times more in Minnesota than in Washington, DC. 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· 49th of 51
$17.78
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.