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 $501.19 Median $776.25 Typical High $831.76 | Facility | None | $501.19 | $776.25 | $831.76 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $776.25 Typical High $1,122.02 | Professional | None | $501.19 | $776.25 | $1,122.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,000.00 Median $1,621.81 Typical High $1,698.24 | Facility | None | $1,000.00 | $1,621.81 | $1,698.24 |
Anthem BCBS Setting Professional Modifier None Typical Low $691.83 Median $812.83 Typical High $1,071.52 | Professional | None | $691.83 | $812.83 | $1,071.52 |
CareSource Setting Facility Modifier None Typical Low $1,023.29 Median $1,412.54 Typical High $2,290.87 | Facility | None | $1,023.29 | $1,412.54 | $2,290.87 |
CareSource Setting Professional Modifier None Typical Low $1,584.89 Median $1,995.26 Typical High $2,511.89 | Professional | None | $1,584.89 | $1,995.26 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $2,187.76 | Facility | None | $851.14 | $851.14 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $851.14 Typical High $7,762.47 | Professional | None | $630.96 | $851.14 | $7,762.47 |
Molina Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,202.26 | Professional | None | $1,000.00 | $1,000.00 | $1,202.26 |
United Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $1,318.26 | Facility | None | $912.01 | $912.01 | $1,318.26 |
United Setting Professional Modifier None Typical Low $524.81 Median $707.95 Typical High $1,047.13 | Professional | None | $524.81 | $707.95 | $1,047.13 |
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 $302.00 Median $380.19 Typical High $549.54 | Professional | 52 · Reduced service | $302.00 | $380.19 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $154.88 Typical High $223.87 | Professional | 53 · Discontinued | $120.23 | $154.88 | $223.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $114.82 Typical High $165.96 | Professional | 55 · Aftercare only | $89.13 | $114.82 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $77.62 Typical High $112.20 | Professional | 56 · Pre-op care only | $60.26 | $77.62 | $112.20 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | RR · Rental | $81.28 | $81.28 | $81.28 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | UE · Used equipment | $602.56 | $602.56 | $602.56 |
Where Kentucky sits
The same service costs 5.1 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· 32nd of 51
$813
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.