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 $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $60.26 | Professional | None | $57.54 | $57.54 | $60.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $70.79 Median $120.23 Typical High $120.23 | Facility | None | $70.79 | $120.23 | $120.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $83.18 Median $102.33 Typical High $102.33 | Professional | None | $83.18 | $102.33 | $102.33 |
CareSource Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $72.44 | Facility | None | $48.98 | $48.98 | $72.44 |
CareSource Setting Professional Modifier None Typical Low $41.69 Median $48.98 Typical High $70.79 | Professional | None | $41.69 | $48.98 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $85.11 Typical High $213.80 | Facility | None | $69.18 | $85.11 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $323.59 | Professional | None | $61.66 | $61.66 | $323.59 |
Molina Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
United Setting Professional Modifier None Typical Low $53.70 Median $60.26 Typical High $66.07 | Professional | None | $53.70 | $60.26 | $66.07 |
4 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 $28.84 Median $28.84 Typical High $30.20 | Professional | 52 · Reduced service | $28.84 | $28.84 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $11.48 Typical High $12.02 | Professional | 53 · Discontinued | $11.48 | $11.48 | $12.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $8.71 Typical High $8.91 | Professional | 55 · Aftercare only | $8.71 | $8.71 | $8.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $5.75 Typical High $6.03 | Professional | 56 · Pre-op care only | $5.75 | $5.75 | $6.03 |
Where Kentucky sits
The same service costs 1.6 times more in Alaska than in Hawaii. 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· 2nd of 51
$85.11
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.