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 $263.03 Median $416.87 Typical High $426.58 | Facility | None | $263.03 | $416.87 | $426.58 |
Aetna Setting Professional Modifier None Typical Low $263.03 Median $416.87 Typical High $562.34 | Professional | None | $263.03 | $416.87 | $562.34 |
Anthem BCBS Setting Facility Modifier None Typical Low $501.19 Median $812.83 Typical High $851.14 | Facility | None | $501.19 | $812.83 | $851.14 |
Anthem BCBS Setting Professional Modifier None Typical Low $363.08 Median $467.74 Typical High $537.03 | Professional | None | $363.08 | $467.74 | $537.03 |
CareSource Setting Facility Modifier None Typical Low $512.86 Median $724.44 Typical High $1,148.15 | Facility | None | $512.86 | $724.44 | $1,148.15 |
CareSource Setting Professional Modifier None Typical Low $794.33 Median $1,000.00 Typical High $1,288.25 | Professional | None | $794.33 | $1,000.00 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $1,122.02 | Facility | None | $446.68 | $446.68 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $446.68 Typical High $3,981.07 | Professional | None | $331.13 | $446.68 | $3,981.07 |
Molina Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $616.60 | Professional | None | $512.86 | $512.86 | $616.60 |
United Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $630.96 | Facility | None | $478.63 | $478.63 | $630.96 |
United Setting Professional Modifier None Typical Low $263.03 Median $363.08 Typical High $524.81 | Professional | None | $263.03 | $363.08 | $524.81 |
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 $158.49 Median $208.93 Typical High $281.84 | Professional | 52 · Reduced service | $158.49 | $208.93 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $83.18 Typical High $112.20 | Professional | 53 · Discontinued | $63.10 | $83.18 | $112.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $63.10 Typical High $83.18 | Professional | 55 · Aftercare only | $46.77 | $63.10 | $83.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $41.69 Typical High $56.23 | Professional | 56 · Pre-op care only | $31.62 | $41.69 | $56.23 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | RR · Rental | $46.77 | $46.77 | $46.77 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $275.42 Median $346.74 Typical High $346.74 | Professional | UE · Used equipment | $275.42 | $346.74 | $346.74 |
Where Kentucky sits
The same service costs 4.6 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
$427
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.