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 $223.87 Median $371.54 Typical High $389.05 | Facility | None | $223.87 | $371.54 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $371.54 Typical High $407.38 | Professional | None | $295.12 | $371.54 | $407.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $446.68 Median $707.95 Typical High $741.31 | Facility | None | $446.68 | $707.95 | $741.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $323.59 Median $363.08 Typical High $467.74 | Professional | None | $323.59 | $363.08 | $467.74 |
CareSource Setting Facility Modifier None Typical Low $457.09 Median $630.96 Typical High $1,000.00 | Facility | None | $457.09 | $630.96 | $1,000.00 |
CareSource Setting Professional Modifier None Typical Low $691.83 Median $870.96 Typical High $1,122.02 | Professional | None | $691.83 | $870.96 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $977.24 | Facility | None | $389.05 | $389.05 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $389.05 Typical High $3,388.44 | Professional | None | $281.84 | $389.05 | $3,388.44 |
Molina Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $537.03 | Professional | None | $446.68 | $446.68 | $537.03 |
United Setting Professional Modifier None Typical Low $234.42 Median $316.23 Typical High $457.09 | Professional | None | $234.42 | $316.23 | $457.09 |
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 $147.91 Median $186.21 Typical High $204.17 | Professional | 52 · Reduced service | $147.91 | $186.21 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $74.13 Typical High $81.28 | Professional | 53 · Discontinued | $58.88 | $74.13 | $81.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $56.23 Typical High $60.26 | Professional | 55 · Aftercare only | $44.67 | $56.23 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $37.15 Typical High $40.74 | Professional | 56 · Pre-op care only | $29.51 | $37.15 | $40.74 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | RR · Rental | $38.02 | $38.02 | $38.02 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | UE · Used equipment | $281.84 | $281.84 | $281.84 |
Where Kentucky sits
The same service costs 2.5 times more in Iowa 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· 41st of 51
$363
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.