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 $891.25 Median $891.25 Typical High $954.99 | Facility | None | $891.25 | $891.25 | $954.99 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $954.99 Typical High $1,023.29 | Professional | None | $831.76 | $954.99 | $1,023.29 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,071.52 Median $1,737.80 Typical High $1,819.70 | Facility | None | $1,071.52 | $1,737.80 | $1,819.70 |
Anthem BCBS Setting Professional Modifier None Typical Low $794.33 Median $912.01 Typical High $1,148.15 | Professional | None | $794.33 | $912.01 | $1,148.15 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | UE · Used equipment | $691.83 | $691.83 | $691.83 |
CareSource Setting Facility Modifier None Typical Low $1,096.48 Median $1,513.56 Typical High $2,454.71 | Facility | None | $1,096.48 | $1,513.56 | $2,454.71 |
CareSource Setting Professional Modifier None Typical Low $1,698.24 Median $2,137.96 Typical High $2,691.53 | Professional | None | $1,698.24 | $2,137.96 | $2,691.53 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $2,344.23 | Facility | None | $933.25 | $933.25 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $933.25 Typical High $8,317.64 | Professional | None | $691.83 | $933.25 | $8,317.64 |
Molina Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
United Setting Professional Modifier None Typical Low $562.34 Median $758.58 Typical High $1,122.02 | Professional | None | $562.34 | $758.58 | $1,122.02 |
5 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 $416.87 Median $467.74 Typical High $512.86 | Professional | 52 · Reduced service | $416.87 | $467.74 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $190.55 Typical High $204.17 | Professional | 53 · Discontinued | $165.96 | $190.55 | $204.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $141.25 Typical High $151.36 | Professional | 55 · Aftercare only | $125.89 | $141.25 | $151.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $95.50 Typical High $102.33 | Professional | 56 · Pre-op care only | $83.18 | $95.50 | $102.33 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | RR · Rental | $91.20 | $91.20 | $91.20 |
Where Kentucky sits
The same service costs 2.6 times more in Hawaii 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· 39th of 51
$912
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.