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 $478.63 Median $691.83 Typical High $741.31 | Facility | None | $478.63 | $691.83 | $741.31 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $707.95 Typical High $912.01 | Professional | None | $478.63 | $707.95 | $912.01 |
Anthem BCBS Setting Facility Modifier None Typical Low $831.76 Median $1,348.96 Typical High $1,412.54 | Facility | None | $831.76 | $1,348.96 | $1,412.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $616.60 Median $776.25 Typical High $870.96 | Professional | None | $616.60 | $776.25 | $870.96 |
CareSource Setting Facility Modifier None Typical Low $851.14 Median $1,174.90 Typical High $1,905.46 | Facility | None | $851.14 | $1,174.90 | $1,905.46 |
CareSource Setting Professional Modifier None Typical Low $1,318.26 Median $1,659.59 Typical High $2,089.30 | Professional | None | $1,318.26 | $1,659.59 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $2,041.74 | Facility | None | $831.76 | $831.76 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $831.76 Typical High $7,413.10 | Professional | None | $602.56 | $831.76 | $7,413.10 |
Molina Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $1,000.00 | Professional | None | $831.76 | $831.76 | $1,000.00 |
United Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $1,348.96 | Facility | None | $870.96 | $870.96 | $1,348.96 |
United Setting Professional Modifier None Typical Low $446.68 Median $645.65 Typical High $870.96 | Professional | None | $446.68 | $645.65 | $870.96 |
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 $288.40 Median $354.81 Typical High $457.09 | Professional | 52 · Reduced service | $288.40 | $354.81 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $141.25 Typical High $186.21 | Professional | 53 · Discontinued | $117.49 | $141.25 | $186.21 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $107.15 Typical High $138.04 | Professional | 55 · Aftercare only | $87.10 | $107.15 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $70.79 Typical High $91.20 | Professional | 56 · Pre-op care only | $57.54 | $70.79 | $91.20 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | RR · Rental | $79.43 | $79.43 | $79.43 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | UE · Used equipment | $588.84 | $588.84 | $588.84 |
Where Kentucky sits
The same service costs 5.4 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· 35th of 51
$776
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.