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 $213.80 Median $309.03 Typical High $416.87 | Facility | None | $213.80 | $309.03 | $416.87 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $309.03 Typical High $416.87 | Professional | None | $186.21 | $309.03 | $416.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $371.54 Median $588.84 Typical High $616.60 | Facility | None | $371.54 | $588.84 | $616.60 |
Anthem BCBS Setting Professional Modifier None Typical Low $269.15 Median $354.81 Typical High $389.05 | Professional | None | $269.15 | $354.81 | $389.05 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $263.03 Median $263.03 Typical High $363.08 | Professional | UE · Used equipment | $263.03 | $263.03 | $363.08 |
CareSource Setting Facility Modifier None Typical Low $380.19 Median $524.81 Typical High $851.14 | Facility | None | $380.19 | $524.81 | $851.14 |
CareSource Setting Professional Modifier None Typical Low $575.44 Median $724.44 Typical High $933.25 | Professional | None | $575.44 | $724.44 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $912.01 | Facility | None | $380.19 | $380.19 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $380.19 Typical High $3,311.31 | Professional | None | $275.42 | $380.19 | $3,311.31 |
Molina Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $446.68 | Professional | None | $371.54 | $371.54 | $446.68 |
United Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $467.74 | Facility | None | $389.05 | $389.05 | $467.74 |
United Setting Professional Modifier None Typical Low $194.98 Median $288.40 Typical High $446.68 | Professional | None | $194.98 | $288.40 | $446.68 |
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 $128.82 Median $199.53 Typical High $208.93 | Professional | 52 · Reduced service | $128.82 | $199.53 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $79.43 Typical High $83.18 | Professional | 53 · Discontinued | $51.29 | $79.43 | $83.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.90 Median $60.26 Typical High $63.10 | Professional | 55 · Aftercare only | $38.90 | $60.26 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.70 Median $39.81 Typical High $41.69 | Professional | 56 · Pre-op care only | $25.70 | $39.81 | $41.69 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | RR · Rental | $35.48 | $35.48 | $35.48 |
Where Kentucky sits
The same service costs 3.7 times more in Hawaii than in Florida. 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
$355
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.