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 $104.71 Median $162.18 Typical High $213.80 | Facility | None | $104.71 | $162.18 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $204.17 Typical High $213.80 | Professional | None | $131.83 | $204.17 | $213.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $194.98 Median $316.23 Typical High $331.13 | Facility | None | $194.98 | $316.23 | $331.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $144.54 Median $173.78 Typical High $208.93 | Professional | None | $144.54 | $173.78 | $208.93 |
CareSource Setting Facility Modifier None Typical Low $199.53 Median $275.42 Typical High $446.68 | Facility | None | $199.53 | $275.42 | $446.68 |
CareSource Setting Professional Modifier None Typical Low $309.03 Median $389.05 Typical High $489.78 | Professional | None | $309.03 | $389.05 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $446.68 | Facility | None | $223.87 | $223.87 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $223.87 Typical High $1,621.81 | Professional | None | $165.96 | $223.87 | $1,621.81 |
Molina Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $213.80 | Professional | None | $177.83 | $177.83 | $213.80 |
United Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $208.93 | Facility | None | $190.55 | $190.55 | $208.93 |
United Setting Professional Modifier None Typical Low $102.33 Median $144.54 Typical High $218.78 | Professional | None | $102.33 | $144.54 | $218.78 |
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 $66.07 Median $102.33 Typical High $107.15 | Professional | 52 · Reduced service | $66.07 | $102.33 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $41.69 Typical High $43.65 | Professional | 53 · Discontinued | $26.30 | $41.69 | $43.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.50 Median $30.90 Typical High $32.36 | Professional | 55 · Aftercare only | $19.50 | $30.90 | $32.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.18 Median $20.42 Typical High $21.38 | Professional | 56 · Pre-op care only | $13.18 | $20.42 | $21.38 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | RR · Rental | $17.38 | $17.38 | $17.38 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $131.83 Median $131.83 Typical High $141.25 | Professional | UE · Used equipment | $131.83 | $131.83 | $141.25 |
Where Kentucky sits
The same service costs 3.4 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· 36th of 51
$174
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.