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 $239.88 Median $371.54 Typical High $407.38 | Facility | None | $239.88 | $371.54 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $398.11 Typical High $489.78 | Professional | None | $239.88 | $398.11 | $489.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $446.68 Median $724.44 Typical High $758.58 | Facility | None | $446.68 | $724.44 | $758.58 |
Anthem BCBS Setting Professional Modifier None Typical Low $331.13 Median $380.19 Typical High $478.63 | Professional | None | $331.13 | $380.19 | $478.63 |
CareSource Setting Facility Modifier None Typical Low $457.09 Median $630.96 Typical High $1,023.29 | Facility | None | $457.09 | $630.96 | $1,023.29 |
CareSource Setting Professional Modifier None Typical Low $707.95 Median $870.96 Typical High $1,122.02 | Professional | None | $707.95 | $870.96 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $1,023.29 | Facility | None | $407.38 | $407.38 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $407.38 Typical High $3,630.78 | Professional | None | $295.12 | $407.38 | $3,630.78 |
Molina Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $537.03 | Professional | None | $446.68 | $446.68 | $537.03 |
United Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $575.44 | Facility | None | $436.52 | $436.52 | $575.44 |
United Setting Professional Modifier None Typical Low $234.42 Median $331.13 Typical High $467.74 | Professional | None | $234.42 | $331.13 | $467.74 |
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 $147.91 Median $194.98 Typical High $245.47 | Professional | 52 · Reduced service | $147.91 | $194.98 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $79.43 Typical High $97.72 | Professional | 53 · Discontinued | $60.26 | $79.43 | $97.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $58.88 Typical High $74.13 | Professional | 55 · Aftercare only | $44.67 | $58.88 | $74.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $39.81 Typical High $48.98 | Professional | 56 · Pre-op care only | $29.51 | $39.81 | $48.98 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | RR · Rental | $38.02 | $38.02 | $38.02 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | UE · Used equipment | $288.40 | $288.40 | $288.40 |
Where Kentucky sits
The same service costs 4.3 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· 34th of 51
$380
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.