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 $194.98 Median $288.40 Typical High $331.13 | Facility | None | $194.98 | $288.40 | $331.13 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $316.23 Typical High $380.19 | Professional | None | $194.98 | $316.23 | $380.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $346.74 Median $562.34 Typical High $588.84 | Facility | None | $346.74 | $562.34 | $588.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $257.04 Median $316.23 Typical High $371.54 | Professional | None | $257.04 | $316.23 | $371.54 |
CareSource Setting Facility Modifier None Typical Low $354.81 Median $489.78 Typical High $794.33 | Facility | None | $354.81 | $489.78 | $794.33 |
CareSource Setting Professional Modifier None Typical Low $549.54 Median $691.83 Typical High $870.96 | Professional | None | $549.54 | $691.83 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $831.76 | Facility | None | $338.84 | $338.84 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $338.84 Typical High $3,019.95 | Professional | None | $245.47 | $338.84 | $3,019.95 |
Molina Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $416.87 | Professional | None | $346.74 | $346.74 | $416.87 |
United Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $407.38 | Facility | None | $354.81 | $354.81 | $407.38 |
United Setting Professional Modifier None Typical Low $181.97 Median $269.15 Typical High $371.54 | Professional | None | $181.97 | $269.15 | $371.54 |
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 $120.23 Median $158.49 Typical High $190.55 | Professional | 52 · Reduced service | $120.23 | $158.49 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $63.10 Typical High $75.86 | Professional | 53 · Discontinued | $47.86 | $63.10 | $75.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $46.77 Typical High $57.54 | Professional | 55 · Aftercare only | $36.31 | $46.77 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $31.62 Typical High $38.02 | Professional | 56 · Pre-op care only | $23.99 | $31.62 | $38.02 |
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 4.2 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
$316
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.