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 $676.08 Median $1,023.29 Typical High $1,122.02 | Facility | None | $676.08 | $1,023.29 | $1,122.02 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $1,071.52 Typical High $1,348.96 | Professional | None | $676.08 | $1,071.52 | $1,348.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,230.27 Median $1,949.84 Typical High $2,041.74 | Facility | None | $1,230.27 | $1,949.84 | $2,041.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $891.25 Median $1,096.48 Typical High $1,288.25 | Professional | None | $891.25 | $1,096.48 | $1,288.25 |
CareSource Setting Facility Modifier None Typical Low $1,258.93 Median $1,737.80 Typical High $2,818.38 | Facility | None | $1,258.93 | $1,737.80 | $2,818.38 |
CareSource Setting Professional Modifier None Typical Low $1,905.46 Median $2,398.83 Typical High $3,090.30 | Professional | None | $1,905.46 | $2,398.83 | $3,090.30 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $2,951.21 | Facility | None | $1,174.90 | $1,174.90 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $1,174.90 Typical High $10,471.29 | Professional | None | $851.14 | $1,174.90 | $10,471.29 |
Molina Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,479.11 | Professional | None | $1,230.27 | $1,230.27 | $1,479.11 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,258.93 | Facility | None | $1,122.02 | $1,122.02 | $1,258.93 |
United Setting Professional Modifier None Typical Low $645.65 Median $912.01 Typical High $1,288.25 | Professional | None | $645.65 | $912.01 | $1,288.25 |
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 $426.58 Median $537.03 Typical High $676.08 | Professional | 52 · Reduced service | $426.58 | $537.03 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $213.80 Typical High $269.15 | Professional | 53 · Discontinued | $169.82 | $213.80 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $162.18 Typical High $204.17 | Professional | 55 · Aftercare only | $128.82 | $162.18 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $107.15 Typical High $134.90 | Professional | 56 · Pre-op care only | $85.11 | $107.15 | $134.90 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | RR · Rental | $112.20 | $112.20 | $112.20 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | UE · Used equipment | $851.14 | $851.14 | $851.14 |
Where Kentucky sits
The same service costs 3.3 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
$1,096
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.