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 $109.65 Median $181.97 Typical High $190.55 | Facility | None | $109.65 | $181.97 | $190.55 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $186.21 Typical High $204.17 | Professional | None | $138.04 | $186.21 | $204.17 |
Anthem BCBS Setting Facility Modifier None Typical Low $218.78 Median $346.74 Typical High $363.08 | Facility | None | $218.78 | $346.74 | $363.08 |
Anthem BCBS Setting Professional Modifier None Typical Low $158.49 Median $177.83 Typical High $229.09 | Professional | None | $158.49 | $177.83 | $229.09 |
CareSource Setting Facility Modifier None Typical Low $223.87 Median $309.03 Typical High $489.78 | Facility | None | $223.87 | $309.03 | $489.78 |
CareSource Setting Professional Modifier None Typical Low $338.84 Median $426.58 Typical High $549.54 | Professional | None | $338.84 | $426.58 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $467.74 | Facility | None | $190.55 | $190.55 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $190.55 Typical High $1,659.59 | Professional | None | $138.04 | $190.55 | $1,659.59 |
Molina Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $263.03 | Professional | None | $218.78 | $218.78 | $263.03 |
United Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $173.78 | Facility | None | $125.89 | $125.89 | $173.78 |
United Setting Professional Modifier None Typical Low $112.20 Median $154.88 Typical High $223.87 | Professional | None | $112.20 | $154.88 | $223.87 |
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 $69.18 Median $93.33 Typical High $102.33 | Professional | 52 · Reduced service | $69.18 | $93.33 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $37.15 Typical High $40.74 | Professional | 53 · Discontinued | $27.54 | $37.15 | $40.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $27.54 Typical High $30.90 | Professional | 55 · Aftercare only | $20.89 | $27.54 | $30.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $18.62 Typical High $20.42 | Professional | 56 · Pre-op care only | $13.80 | $18.62 | $20.42 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | RR · Rental | $18.62 | $18.62 | $18.62 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $131.83 Median $138.04 Typical High $138.04 | Professional | UE · Used equipment | $131.83 | $138.04 | $138.04 |
Where Kentucky sits
The same service costs 2.7 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· 40th of 51
$178
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.