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 $501.19 Median $776.25 Typical High $933.25 | Facility | None | $501.19 | $776.25 | $933.25 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $776.25 Typical High $1,047.13 | Professional | None | $501.19 | $776.25 | $1,047.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,122.02 Median $1,819.70 Typical High $1,905.46 | Facility | None | $1,122.02 | $1,819.70 | $1,905.46 |
Anthem BCBS Setting Professional Modifier None Typical Low $676.08 Median $831.76 Typical High $1,122.02 | Professional | None | $676.08 | $831.76 | $1,122.02 |
CareSource Setting Facility Modifier None Typical Low $1,148.15 Median $1,584.89 Typical High $2,570.40 | Facility | None | $1,148.15 | $1,584.89 | $2,570.40 |
CareSource Setting Professional Modifier None Typical Low $1,778.28 Median $2,238.72 Typical High $2,818.38 | Professional | None | $1,778.28 | $2,238.72 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $2,454.71 | Facility | None | $891.25 | $891.25 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $891.25 Typical High $7,762.47 | Professional | None | $645.65 | $891.25 | $7,762.47 |
Molina Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,348.96 | Professional | None | $1,122.02 | $1,122.02 | $1,348.96 |
United Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $870.96 | Facility | None | $851.14 | $851.14 | $870.96 |
United Setting Professional Modifier None Typical Low $524.81 Median $794.33 Typical High $1,174.90 | Professional | None | $524.81 | $794.33 | $1,174.90 |
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 $323.59 Median $380.19 Typical High $524.81 | Professional | 52 · Reduced service | $323.59 | $380.19 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $154.88 Typical High $208.93 | Professional | 53 · Discontinued | $131.83 | $154.88 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $114.82 Typical High $154.88 | Professional | 55 · Aftercare only | $97.72 | $114.82 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $77.62 Typical High $104.71 | Professional | 56 · Pre-op care only | $66.07 | $77.62 | $104.71 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | RR · Rental | $83.18 | $83.18 | $83.18 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | UE · Used equipment | $616.60 | $616.60 | $616.60 |
Where Kentucky sits
The same service costs 3.0 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· 38th of 51
$832
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.