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 $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | None | $20.89 | $20.89 | $20.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $23.99 Median $24.55 Typical High $64.57 | Facility | None | $23.99 | $24.55 | $64.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $36.31 | Professional | None | $20.89 | $20.89 | $36.31 |
CareSource Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $30.20 | Facility | None | $19.05 | $19.05 | $30.20 |
CareSource Setting Professional Modifier None Typical Low $19.05 Median $19.95 Typical High $26.30 | Professional | None | $19.05 | $19.95 | $26.30 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $39.81 Typical High $72.44 | Facility | None | $27.54 | $39.81 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $125.89 | Professional | None | $20.89 | $20.89 | $125.89 |
Molina Setting Professional Modifier None Typical Low $20.89 Median $27.54 Typical High $35.48 | Professional | None | $20.89 | $27.54 | $35.48 |
United Setting Professional Modifier None Typical Low $29.51 Median $31.62 Typical High $33.11 | Professional | None | $29.51 | $31.62 | $33.11 |
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 $10.47 Median $10.47 Typical High $10.47 | Professional | 52 · Reduced service | $10.47 | $10.47 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $4.17 Typical High $4.17 | Professional | 53 · Discontinued | $4.17 | $4.17 | $4.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.16 Median $3.16 Typical High $3.16 | Professional | 55 · Aftercare only | $3.16 | $3.16 | $3.16 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.09 Median $2.09 Typical High $2.09 | Professional | 56 · Pre-op care only | $2.09 | $2.09 | $2.09 |
Where Kentucky sits
The same service costs 3.8 times more in Wyoming than in Kentucky. 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· 51st 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.