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 $363.08 Median $562.34 Typical High $562.34 | Facility | None | $363.08 | $562.34 | $562.34 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $562.34 Typical High $741.31 | Professional | None | $363.08 | $562.34 | $741.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $660.69 Median $1,071.52 Typical High $1,122.02 | Facility | None | $660.69 | $1,071.52 | $1,122.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $489.78 Median $575.44 Typical High $707.95 | Professional | None | $489.78 | $575.44 | $707.95 |
CareSource Setting Facility Modifier None Typical Low $676.08 Median $954.99 Typical High $1,513.56 | Facility | None | $676.08 | $954.99 | $1,513.56 |
CareSource Setting Professional Modifier None Typical Low $1,047.13 Median $1,318.26 Typical High $1,698.24 | Professional | None | $1,047.13 | $1,318.26 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $1,548.82 | Facility | None | $616.60 | $616.60 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $616.60 Typical High $5,623.41 | Professional | None | $457.09 | $616.60 | $5,623.41 |
Molina Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $794.33 | Professional | None | $676.08 | $676.08 | $794.33 |
United Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $660.69 | Facility | None | $645.65 | $645.65 | $660.69 |
United Setting Professional Modifier None Typical Low $346.74 Median $489.78 Typical High $724.44 | Professional | None | $346.74 | $489.78 | $724.44 |
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 $223.87 Median $275.42 Typical High $371.54 | Professional | 52 · Reduced service | $223.87 | $275.42 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $112.20 Typical High $147.91 | Professional | 53 · Discontinued | $91.20 | $112.20 | $147.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $83.18 Typical High $109.65 | Professional | 55 · Aftercare only | $67.61 | $83.18 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $56.23 Typical High $74.13 | Professional | 56 · Pre-op care only | $45.71 | $56.23 | $74.13 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | RR · Rental | $60.26 | $60.26 | $60.26 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | UE · Used equipment | $457.09 | $457.09 | $457.09 |
Where Kentucky sits
The same service costs 3.6 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· 40th of 51
$575
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.