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 $66.07 Median $102.33 Typical High $128.82 | Facility | None | $66.07 | $102.33 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $102.33 Typical High $128.82 | Professional | None | $83.18 | $102.33 | $128.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $154.88 Median $251.19 Typical High $263.03 | Facility | None | $154.88 | $251.19 | $263.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $89.13 Median $112.20 Typical High $165.96 | Professional | None | $89.13 | $112.20 | $165.96 |
CareSource Setting Facility Modifier None Typical Low $158.49 Median $218.78 Typical High $354.81 | Facility | None | $158.49 | $218.78 | $354.81 |
CareSource Setting Professional Modifier None Typical Low $245.47 Median $309.03 Typical High $389.05 | Professional | None | $245.47 | $309.03 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $338.84 | Facility | None | $125.89 | $125.89 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $125.89 Typical High $1,071.52 | Professional | None | $91.20 | $125.89 | $1,071.52 |
Molina Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $186.21 | Professional | None | $154.88 | $154.88 | $186.21 |
United Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $100.00 | Facility | None | $87.10 | $87.10 | $100.00 |
United Setting Professional Modifier None Typical Low $70.79 Median $109.65 Typical High $162.18 | Professional | None | $70.79 | $109.65 | $162.18 |
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 $41.69 Median $51.29 Typical High $64.57 | Professional | 52 · Reduced service | $41.69 | $51.29 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $20.42 Typical High $25.70 | Professional | 53 · Discontinued | $16.60 | $20.42 | $25.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $15.49 Typical High $19.50 | Professional | 55 · Aftercare only | $12.59 | $15.49 | $19.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $10.23 Typical High $12.88 | Professional | 56 · Pre-op care only | $8.32 | $10.23 | $12.88 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | RR · Rental | $11.22 | $11.22 | $11.22 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | UE · Used equipment | $83.18 | $83.18 | $83.18 |
Where Kentucky sits
The same service costs 2.4 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· 40th of 51
$112
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.