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 $190.55 Median $281.84 Typical High $302.00 | Facility | None | $190.55 | $281.84 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $302.00 Typical High $371.54 | Professional | None | $234.42 | $302.00 | $371.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $338.84 Median $537.03 Typical High $562.34 | Facility | None | $338.84 | $537.03 | $562.34 |
Anthem BCBS Setting Professional Modifier None Typical Low $245.47 Median $309.03 Typical High $354.81 | Professional | None | $245.47 | $309.03 | $354.81 |
CareSource Setting Facility Modifier None Typical Low $346.74 Median $478.63 Typical High $776.25 | Facility | None | $346.74 | $478.63 | $776.25 |
CareSource Setting Professional Modifier None Typical Low $524.81 Median $660.69 Typical High $851.14 | Professional | None | $524.81 | $660.69 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $812.83 | Facility | None | $331.13 | $331.13 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $331.13 Typical High $2,884.03 | Professional | None | $239.88 | $331.13 | $2,884.03 |
Molina Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $407.38 | Professional | None | $338.84 | $338.84 | $407.38 |
United Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $363.08 | Facility | None | $354.81 | $354.81 | $363.08 |
United Setting Professional Modifier None Typical Low $177.83 Median $257.04 Typical High $354.81 | Professional | None | $177.83 | $257.04 | $354.81 |
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 $117.49 Median $144.54 Typical High $186.21 | Professional | 52 · Reduced service | $117.49 | $144.54 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $58.88 Typical High $74.13 | Professional | 53 · Discontinued | $46.77 | $58.88 | $74.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $43.65 Typical High $56.23 | Professional | 55 · Aftercare only | $35.48 | $43.65 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $29.51 Typical High $37.15 | Professional | 56 · Pre-op care only | $23.44 | $29.51 | $37.15 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | RR · Rental | $32.36 | $32.36 | $32.36 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | UE · Used equipment | $239.88 | $239.88 | $239.88 |
Where Kentucky sits
The same service costs 4.1 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· 42nd of 51
$309
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.