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 $177.83 Median $281.84 Typical High $338.84 | Facility | None | $177.83 | $281.84 | $338.84 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $323.59 Typical High $371.54 | Professional | None | $223.87 | $323.59 | $371.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $338.84 Median $537.03 Typical High $575.44 | Facility | None | $338.84 | $537.03 | $575.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $251.19 Median $288.40 Typical High $363.08 | Professional | None | $251.19 | $288.40 | $363.08 |
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 $537.03 Median $660.69 Typical High $851.14 | Professional | None | $537.03 | $660.69 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $776.25 | Facility | None | $389.05 | $389.05 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $389.05 Typical High $2,754.23 | Professional | None | $281.84 | $389.05 | $2,754.23 |
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 $331.13 Median $331.13 Typical High $426.58 | Facility | None | $331.13 | $331.13 | $426.58 |
United Setting Professional Modifier None Typical Low $177.83 Median $245.47 Typical High $380.19 | Professional | None | $177.83 | $245.47 | $380.19 |
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 $112.20 Median $162.18 Typical High $186.21 | Professional | 52 · Reduced service | $112.20 | $162.18 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $64.57 Typical High $74.13 | Professional | 53 · Discontinued | $44.67 | $64.57 | $74.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $47.86 Typical High $56.23 | Professional | 55 · Aftercare only | $33.88 | $47.86 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.39 Median $32.36 Typical High $37.15 | Professional | 56 · Pre-op care only | $22.39 | $32.36 | $37.15 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | RR · Rental | $30.20 | $30.20 | $30.20 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | UE · Used equipment | $223.87 | $223.87 | $223.87 |
Where Kentucky sits
The same service costs 3.4 times more in Hawaii than in Washington, DC. 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· 37th of 51
$295
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.