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 $83.18 Median $123.03 Typical High $144.54 | Facility | None | $83.18 | $123.03 | $144.54 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $138.04 Typical High $162.18 | Professional | None | $83.18 | $138.04 | $162.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $147.91 Median $234.42 Typical High $245.47 | Facility | None | $147.91 | $234.42 | $245.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $107.15 Median $134.90 Typical High $158.49 | Professional | None | $107.15 | $134.90 | $158.49 |
CareSource Setting Facility Modifier None Typical Low $151.36 Median $208.93 Typical High $338.84 | Facility | None | $151.36 | $208.93 | $338.84 |
CareSource Setting Professional Modifier None Typical Low $229.09 Median $288.40 Typical High $371.54 | Professional | None | $229.09 | $288.40 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $363.08 | Facility | None | $165.96 | $165.96 | $363.08 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $165.96 Typical High $1,288.25 | Professional | None | $120.23 | $165.96 | $1,288.25 |
Molina Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $177.83 | Professional | None | $147.91 | $147.91 | $177.83 |
United Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $213.80 | Facility | None | $154.88 | $154.88 | $213.80 |
United Setting Professional Modifier None Typical Low $77.62 Median $114.82 Typical High $165.96 | Professional | None | $77.62 | $114.82 | $165.96 |
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 $50.12 Median $69.18 Typical High $81.28 | Professional | 52 · Reduced service | $50.12 | $69.18 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $27.54 Typical High $32.36 | Professional | 53 · Discontinued | $20.42 | $27.54 | $32.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $20.89 Typical High $24.55 | Professional | 55 · Aftercare only | $15.14 | $20.89 | $24.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.00 Median $13.80 Typical High $16.22 | Professional | 56 · Pre-op care only | $10.00 | $13.80 | $16.22 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | RR · Rental | $13.80 | $13.80 | $13.80 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $93.33 Median $102.33 Typical High $102.33 | Professional | UE · Used equipment | $93.33 | $102.33 | $102.33 |
Where Kentucky sits
The same service costs 4.4 times more in Hawaii than in Florida. 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· 44th of 51
$135
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.