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 $95.50 Median $144.54 Typical High $165.96 | Facility | None | $95.50 | $144.54 | $165.96 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $158.49 Typical High $177.83 | Professional | None | $95.50 | $158.49 | $177.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $173.78 Median $281.84 Typical High $295.12 | Facility | None | $173.78 | $281.84 | $295.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $128.82 Median $151.36 Typical High $186.21 | Professional | None | $128.82 | $151.36 | $186.21 |
CareSource Setting Facility Modifier None Typical Low $177.83 Median $245.47 Typical High $398.11 | Facility | None | $177.83 | $245.47 | $398.11 |
CareSource Setting Professional Modifier None Typical Low $275.42 Median $346.74 Typical High $436.52 | Professional | None | $275.42 | $346.74 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $398.11 | Facility | None | $190.55 | $190.55 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $190.55 Typical High $1,412.54 | Professional | None | $138.04 | $190.55 | $1,412.54 |
Molina Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $208.93 | Professional | None | $173.78 | $173.78 | $208.93 |
United Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $151.36 | Facility | None | $147.91 | $147.91 | $151.36 |
United Setting Professional Modifier None Typical Low $91.20 Median $131.83 Typical High $190.55 | Professional | None | $91.20 | $131.83 | $190.55 |
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 $60.26 Median $79.43 Typical High $89.13 | Professional | 52 · Reduced service | $60.26 | $79.43 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $31.62 Typical High $35.48 | Professional | 53 · Discontinued | $24.55 | $31.62 | $35.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $23.99 Typical High $26.30 | Professional | 55 · Aftercare only | $18.20 | $23.99 | $26.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $15.85 Typical High $17.78 | Professional | 56 · Pre-op care only | $12.30 | $15.85 | $17.78 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | RR · Rental | $15.85 | $15.85 | $15.85 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | UE · Used equipment | $117.49 | $117.49 | $117.49 |
Where Kentucky sits
The same service costs 2.3 times more in Hawaii than in New Jersey. 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· 42nd of 51
$151
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.