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 $645.65 Median $977.24 Typical High $1,202.26 | Facility | None | $645.65 | $977.24 | $1,202.26 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $1,148.15 Typical High $1,288.25 | Professional | None | $812.83 | $1,148.15 | $1,288.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,174.90 Median $1,905.46 Typical High $1,995.26 | Facility | None | $1,174.90 | $1,905.46 | $1,995.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $870.96 Median $1,047.13 Typical High $1,258.93 | Professional | None | $870.96 | $1,047.13 | $1,258.93 |
CareSource Setting Facility Modifier None Typical Low $1,202.26 Median $1,659.59 Typical High $2,691.53 | Facility | None | $1,202.26 | $1,659.59 | $2,691.53 |
CareSource Setting Professional Modifier None Typical Low $1,862.09 Median $2,344.23 Typical High $2,951.21 | Professional | None | $1,862.09 | $2,344.23 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $2,754.23 | Facility | None | $1,380.38 | $1,380.38 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,380.38 Typical High $9,772.37 | Professional | None | $1,023.29 | $1,380.38 | $9,772.37 |
Molina Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,412.54 | Professional | None | $1,174.90 | $1,174.90 | $1,412.54 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,174.90 | Facility | None | $1,000.00 | $1,000.00 | $1,174.90 |
United Setting Professional Modifier None Typical Low $616.60 Median $891.25 Typical High $1,348.96 | Professional | None | $616.60 | $891.25 | $1,348.96 |
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 $407.38 Median $575.44 Typical High $645.65 | Professional | 52 · Reduced service | $407.38 | $575.44 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $234.42 Typical High $263.03 | Professional | 53 · Discontinued | $165.96 | $234.42 | $263.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $173.78 Typical High $194.98 | Professional | 55 · Aftercare only | $123.03 | $173.78 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $114.82 Typical High $128.82 | Professional | 56 · Pre-op care only | $81.28 | $114.82 | $128.82 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | RR · Rental | $109.65 | $109.65 | $109.65 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | UE · Used equipment | $812.83 | $812.83 | $812.83 |
Where Kentucky sits
The same service costs 2.7 times more in Hawaii 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· 39th of 51
$1,047
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.