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 $204.17 Median $338.84 Typical High $363.08 | Facility | None | $204.17 | $338.84 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $346.74 Typical High $446.68 | Professional | None | $204.17 | $346.74 | $446.68 |
Anthem BCBS Setting Facility Modifier None Typical Low $398.11 Median $645.65 Typical High $676.08 | Facility | None | $398.11 | $645.65 | $676.08 |
Anthem BCBS Setting Professional Modifier None Typical Low $295.12 Median $323.59 Typical High $426.58 | Professional | None | $295.12 | $323.59 | $426.58 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $245.47 Median $257.04 Typical High $257.04 | Professional | UE · Used equipment | $245.47 | $257.04 | $257.04 |
CareSource Setting Facility Modifier None Typical Low $407.38 Median $575.44 Typical High $912.01 | Facility | None | $407.38 | $575.44 | $912.01 |
CareSource Setting Professional Modifier None Typical Low $630.96 Median $794.33 Typical High $1,023.29 | Professional | None | $630.96 | $794.33 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $870.96 | Facility | None | $416.87 | $416.87 | $870.96 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $416.87 Typical High $3,090.30 | Professional | None | $309.03 | $416.87 | $3,090.30 |
Molina Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $489.78 | Professional | None | $407.38 | $407.38 | $489.78 |
United Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $371.54 | Facility | None | $363.08 | $363.08 | $371.54 |
United Setting Professional Modifier None Typical Low $208.93 Median $288.40 Typical High $416.87 | Professional | None | $208.93 | $288.40 | $416.87 |
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 $125.89 Median $173.78 Typical High $223.87 | Professional | 52 · Reduced service | $125.89 | $173.78 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $69.18 Typical High $89.13 | Professional | 53 · Discontinued | $51.29 | $69.18 | $89.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $51.29 Typical High $66.07 | Professional | 55 · Aftercare only | $38.02 | $51.29 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.70 Median $34.67 Typical High $44.67 | Professional | 56 · Pre-op care only | $25.70 | $34.67 | $44.67 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | RR · Rental | $33.88 | $33.88 | $33.88 |
Where Kentucky sits
The same service costs 2.9 times more in Hawaii 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· 39th of 51
$324
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.