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 $1,288.25 Typical High $1,412.54 | Facility | None | $891.25 | $1,288.25 | $1,412.54 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,348.96 Typical High $1,698.24 | Professional | None | $1,071.52 | $1,348.96 | $1,698.24 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,548.82 Median $2,511.89 Typical High $2,630.27 | Facility | None | $1,548.82 | $2,511.89 | $2,630.27 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,148.15 Median $1,412.54 Typical High $1,659.59 | Professional | None | $1,148.15 | $1,412.54 | $1,659.59 |
CareSource Setting Facility Modifier None Typical Low $1,584.89 Median $2,187.76 Typical High $3,548.13 | Facility | None | $1,584.89 | $2,187.76 | $3,548.13 |
CareSource Setting Professional Modifier None Typical Low $2,454.71 Median $3,090.30 Typical High $3,890.45 | Professional | None | $2,454.71 | $3,090.30 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $3,715.35 | Facility | None | $1,621.81 | $1,621.81 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $1,621.81 Typical High $13,182.57 | Professional | None | $1,202.26 | $1,621.81 | $13,182.57 |
Molina Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,862.09 | Professional | None | $1,548.82 | $1,548.82 | $1,862.09 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,513.56 | Facility | None | $1,479.11 | $1,479.11 | $1,513.56 |
United Setting Professional Modifier None Typical Low $812.83 Median $1,202.26 Typical High $1,621.81 | Professional | None | $812.83 | $1,202.26 | $1,621.81 |
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 $537.03 Median $676.08 Typical High $851.14 | Professional | 52 · Reduced service | $537.03 | $676.08 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $269.15 Typical High $338.84 | Professional | 53 · Discontinued | $213.80 | $269.15 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $204.17 Typical High $257.04 | Professional | 55 · Aftercare only | $162.18 | $204.17 | $257.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $134.90 Typical High $169.82 | Professional | 56 · Pre-op care only | $107.15 | $134.90 | $169.82 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | RR · Rental | $147.91 | $147.91 | $147.91 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | UE · Used equipment | $1,122.02 | $1,122.02 | $1,122.02 |
Where Kentucky sits
The same service costs 2.7 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
$1,413
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.