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 $426.58 Median $630.96 Typical High $660.69 | Facility | None | $426.58 | $630.96 | $660.69 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $630.96 Typical High $831.76 | Professional | None | $426.58 | $630.96 | $831.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $741.31 Median $1,202.26 Typical High $1,258.93 | Facility | None | $741.31 | $1,202.26 | $1,258.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $549.54 Median $575.44 Typical High $794.33 | Professional | None | $549.54 | $575.44 | $794.33 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | UE · Used equipment | $537.03 | $537.03 | $537.03 |
CareSource Setting Facility Modifier None Typical Low $758.58 Median $1,071.52 Typical High $1,698.24 | Facility | None | $758.58 | $1,071.52 | $1,698.24 |
CareSource Setting Professional Modifier None Typical Low $1,174.90 Median $1,479.11 Typical High $1,905.46 | Professional | None | $1,174.90 | $1,479.11 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $1,862.09 | Facility | None | $741.31 | $741.31 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $741.31 Typical High $6,606.93 | Professional | None | $537.03 | $741.31 | $6,606.93 |
Molina Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $912.01 | Professional | None | $758.58 | $758.58 | $912.01 |
United Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $912.01 | Facility | None | $776.25 | $776.25 | $912.01 |
United Setting Professional Modifier None Typical Low $389.05 Median $575.44 Typical High $794.33 | Professional | None | $389.05 | $575.44 | $794.33 |
5 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 $263.03 Median $316.23 Typical High $416.87 | Professional | 52 · Reduced service | $263.03 | $316.23 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $125.89 Typical High $165.96 | Professional | 53 · Discontinued | $104.71 | $125.89 | $165.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $95.50 Typical High $123.03 | Professional | 55 · Aftercare only | $77.62 | $95.50 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $63.10 Typical High $83.18 | Professional | 56 · Pre-op care only | $52.48 | $63.10 | $83.18 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | RR · Rental | $70.79 | $70.79 | $70.79 |
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· 47th of 51
$603
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.