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 $371.54 Median $407.38 Typical High $602.56 | Facility | None | $371.54 | $407.38 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $407.38 Typical High $602.56 | Professional | None | $371.54 | $407.38 | $602.56 |
Anthem BCBS Setting Facility Modifier None Typical Low $501.19 Median $794.33 Typical High $831.76 | Facility | None | $501.19 | $794.33 | $831.76 |
Anthem BCBS Setting Professional Modifier None Typical Low $173.78 Median $707.95 Typical High $977.24 | Professional | None | $173.78 | $707.95 | $977.24 |
CareSource Setting Facility Modifier None Typical Low $501.19 Median $691.83 Typical High $1,122.02 | Facility | None | $501.19 | $691.83 | $1,122.02 |
CareSource Setting Professional Modifier None Typical Low $776.25 Median $977.24 Typical High $1,230.27 | Professional | None | $776.25 | $977.24 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $1,096.48 | Facility | None | $758.58 | $758.58 | $1,096.48 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $630.96 Typical High $3,548.13 | Professional | None | $549.54 | $630.96 | $3,548.13 |
Molina Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,174.90 | Professional | None | $977.24 | $977.24 | $1,174.90 |
United Setting Professional Modifier None Typical Low $407.38 Median $588.84 Typical High $831.76 | Professional | None | $407.38 | $588.84 | $831.76 |
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 $186.21 Median $204.17 Typical High $302.00 | Professional | 52 · Reduced service | $186.21 | $204.17 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $83.18 Typical High $120.23 | Professional | 53 · Discontinued | $74.13 | $83.18 | $120.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $61.66 Typical High $91.20 | Professional | 55 · Aftercare only | $54.95 | $61.66 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $40.74 Typical High $60.26 | Professional | 56 · Pre-op care only | $37.15 | $40.74 | $60.26 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $70.79 Median $70.79 Typical High $72.44 | Professional | RR · Rental | $70.79 | $70.79 | $72.44 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $537.03 Median $537.03 Typical High $549.54 | Professional | UE · Used equipment | $537.03 | $537.03 | $549.54 |
Where Kentucky sits
The same service costs 2.6 times more in Hawaii than in Utah. 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· 21st of 51
$708
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.