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 $380.19 Median $602.56 Typical High $630.96 | Facility | None | $380.19 | $602.56 | $630.96 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $602.56 Typical High $794.33 | Professional | None | $380.19 | $602.56 | $794.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $724.44 Median $1,148.15 Typical High $1,202.26 | Facility | None | $724.44 | $1,148.15 | $1,202.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $524.81 Median $602.56 Typical High $758.58 | Professional | None | $524.81 | $602.56 | $758.58 |
CareSource Setting Facility Modifier None Typical Low $741.31 Median $1,023.29 Typical High $1,621.81 | Facility | None | $741.31 | $1,023.29 | $1,621.81 |
CareSource Setting Professional Modifier None Typical Low $1,122.02 Median $1,412.54 Typical High $1,819.70 | Professional | None | $1,122.02 | $1,412.54 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $1,621.81 | Facility | None | $741.31 | $741.31 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $741.31 Typical High $5,754.40 | Professional | None | $537.03 | $741.31 | $5,754.40 |
Molina Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $870.96 | Professional | None | $724.44 | $724.44 | $870.96 |
United Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $691.83 | Facility | None | $645.65 | $645.65 | $691.83 |
United Setting Professional Modifier None Typical Low $371.54 Median $512.86 Typical High $741.31 | Professional | None | $371.54 | $512.86 | $741.31 |
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 $239.88 Median $302.00 Typical High $398.11 | Professional | 52 · Reduced service | $239.88 | $302.00 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $123.03 Typical High $158.49 | Professional | 53 · Discontinued | $95.50 | $123.03 | $158.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $91.20 Typical High $117.49 | Professional | 55 · Aftercare only | $72.44 | $91.20 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $60.26 Typical High $79.43 | Professional | 56 · Pre-op care only | $47.86 | $60.26 | $79.43 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | RR · Rental | $66.07 | $66.07 | $66.07 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | UE · Used equipment | $489.78 | $489.78 | $489.78 |
Where Kentucky sits
The same service costs 3.0 times more in Hawaii than in Vermont. 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· 43rd of 51
$603
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.