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 $234.42 Median $338.84 Typical High $446.68 | Facility | None | $234.42 | $338.84 | $446.68 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $436.52 Typical High $446.68 | Professional | None | $234.42 | $436.52 | $446.68 |
Anthem BCBS Setting Facility Modifier None Typical Low $407.38 Median $660.69 Typical High $691.83 | Facility | None | $407.38 | $660.69 | $691.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $302.00 Median $371.54 Typical High $436.52 | Professional | None | $302.00 | $371.54 | $436.52 |
CareSource Setting Facility Modifier None Typical Low $416.87 Median $575.44 Typical High $933.25 | Facility | None | $416.87 | $575.44 | $933.25 |
CareSource Setting Professional Modifier None Typical Low $645.65 Median $794.33 Typical High $1,023.29 | Professional | None | $645.65 | $794.33 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $1,000.00 | Facility | None | $398.11 | $398.11 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $398.11 Typical High $3,548.13 | Professional | None | $295.12 | $398.11 | $3,548.13 |
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 $295.12 Median $295.12 Typical High $331.13 | Facility | None | $295.12 | $295.12 | $331.13 |
United Setting Professional Modifier None Typical Low $218.78 Median $316.23 Typical High $489.78 | Professional | None | $218.78 | $316.23 | $489.78 |
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 $141.25 Median $213.80 Typical High $223.87 | Professional | 52 · Reduced service | $141.25 | $213.80 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $87.10 Typical High $89.13 | Professional | 53 · Discontinued | $56.23 | $87.10 | $89.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $64.57 Typical High $67.61 | Professional | 55 · Aftercare only | $42.66 | $64.57 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $43.65 Typical High $44.67 | Professional | 56 · Pre-op care only | $28.18 | $43.65 | $44.67 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | RR · Rental | $37.15 | $37.15 | $37.15 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $281.84 Median $281.84 Typical High $295.12 | Professional | UE · Used equipment | $281.84 | $281.84 | $295.12 |
Where Kentucky sits
The same service costs 3.0 times more in Montana 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· 38th of 51
$372
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.