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 $173.78 Median $251.19 Typical High $309.03 | Facility | None | $173.78 | $251.19 | $309.03 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $295.12 Typical High $331.13 | Professional | None | $173.78 | $295.12 | $331.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $302.00 Median $489.78 Typical High $512.86 | Facility | None | $302.00 | $489.78 | $512.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $223.87 Median $281.84 Typical High $323.59 | Professional | None | $223.87 | $281.84 | $323.59 |
CareSource Setting Facility Modifier None Typical Low $309.03 Median $426.58 Typical High $691.83 | Facility | None | $309.03 | $426.58 | $691.83 |
CareSource Setting Professional Modifier None Typical Low $478.63 Median $588.84 Typical High $758.58 | Professional | None | $478.63 | $588.84 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $741.31 | Facility | None | $295.12 | $295.12 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $295.12 Typical High $2,691.53 | Professional | None | $218.78 | $295.12 | $2,691.53 |
Molina Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $363.08 | Professional | None | $302.00 | $302.00 | $363.08 |
United Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $346.74 | Facility | None | $316.23 | $316.23 | $346.74 |
United Setting Professional Modifier None Typical Low $162.18 Median $239.88 Typical High $346.74 | Professional | None | $162.18 | $239.88 | $346.74 |
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 $104.71 Median $147.91 Typical High $165.96 | Professional | 52 · Reduced service | $104.71 | $147.91 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $58.88 Typical High $66.07 | Professional | 53 · Discontinued | $41.69 | $58.88 | $66.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $43.65 Typical High $50.12 | Professional | 55 · Aftercare only | $31.62 | $43.65 | $50.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $29.51 Typical High $33.11 | Professional | 56 · Pre-op care only | $20.89 | $29.51 | $33.11 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | RR · Rental | $28.84 | $28.84 | $28.84 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $199.53 Median $218.78 Typical High $218.78 | Professional | UE · Used equipment | $199.53 | $218.78 | $218.78 |
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· 39th of 51
$282
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.