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 $489.78 Median $707.95 Typical High $851.14 | Facility | None | $489.78 | $707.95 | $851.14 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $812.83 Typical High $933.25 | Professional | None | $489.78 | $812.83 | $933.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $851.14 Median $1,348.96 Typical High $1,412.54 | Facility | None | $851.14 | $1,348.96 | $1,412.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $616.60 Median $776.25 Typical High $912.01 | Professional | None | $616.60 | $776.25 | $912.01 |
CareSource Setting Facility Modifier None Typical Low $870.96 Median $1,202.26 Typical High $1,949.84 | Facility | None | $870.96 | $1,202.26 | $1,949.84 |
CareSource Setting Professional Modifier None Typical Low $1,318.26 Median $1,659.59 Typical High $2,137.96 | Professional | None | $1,318.26 | $1,659.59 | $2,137.96 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $2,089.30 | Facility | None | $831.76 | $831.76 | $2,089.30 |
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 $851.14 Median $851.14 Typical High $1,023.29 | Professional | None | $851.14 | $851.14 | $1,023.29 |
United Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $891.25 | Facility | None | $870.96 | $870.96 | $891.25 |
United Setting Professional Modifier None Typical Low $446.68 Median $660.69 Typical High $977.24 | Professional | None | $446.68 | $660.69 | $977.24 |
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 $295.12 Median $407.38 Typical High $467.74 | Professional | 52 · Reduced service | $295.12 | $407.38 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $162.18 Typical High $186.21 | Professional | 53 · Discontinued | $117.49 | $162.18 | $186.21 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $123.03 Typical High $141.25 | Professional | 55 · Aftercare only | $89.13 | $123.03 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $81.28 Typical High $93.33 | Professional | 56 · Pre-op care only | $58.88 | $81.28 | $93.33 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | RR · Rental | $81.28 | $81.28 | $81.28 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | UE · Used equipment | $602.56 | $602.56 | $602.56 |
Where Kentucky sits
The same service costs 4.4 times more in Hawaii than in Kansas. 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· 39th 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.