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 $537.03 Median $891.25 Typical High $1,000.00 | Facility | None | $537.03 | $891.25 | $1,000.00 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $954.99 Typical High $1,174.90 | Professional | None | $660.69 | $954.99 | $1,174.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,071.52 Median $1,737.80 Typical High $1,819.70 | Facility | None | $1,071.52 | $1,737.80 | $1,819.70 |
Anthem BCBS Setting Professional Modifier None Typical Low $794.33 Median $870.96 Typical High $1,148.15 | Professional | None | $794.33 | $870.96 | $1,148.15 |
CareSource Setting Facility Modifier None Typical Low $1,096.48 Median $1,513.56 Typical High $2,454.71 | Facility | None | $1,096.48 | $1,513.56 | $2,454.71 |
CareSource Setting Professional Modifier None Typical Low $1,698.24 Median $2,137.96 Typical High $2,691.53 | Professional | None | $1,698.24 | $2,137.96 | $2,691.53 |
Cigna Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $2,344.23 | Facility | None | $1,148.15 | $1,148.15 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $1,148.15 Typical High $8,317.64 | Professional | None | $831.76 | $1,148.15 | $8,317.64 |
Molina Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,288.25 | Professional | None | $1,071.52 | $1,071.52 | $1,288.25 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,258.93 | Facility | None | $1,000.00 | $1,000.00 | $1,258.93 |
United Setting Professional Modifier None Typical Low $562.34 Median $758.58 Typical High $1,122.02 | Professional | None | $562.34 | $758.58 | $1,122.02 |
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 $331.13 Median $478.63 Typical High $588.84 | Professional | 52 · Reduced service | $331.13 | $478.63 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $190.55 Typical High $234.42 | Professional | 53 · Discontinued | $131.83 | $190.55 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $144.54 Typical High $177.83 | Professional | 55 · Aftercare only | $100.00 | $144.54 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $95.50 Typical High $117.49 | Professional | 56 · Pre-op care only | $66.07 | $95.50 | $117.49 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | RR · Rental | $91.20 | $91.20 | $91.20 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | UE · Used equipment | $676.08 | $676.08 | $676.08 |
Where Kentucky sits
The same service costs 3.9 times more in Hawaii than in West Virginia. 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· 41st of 51
$871
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.