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 $134.90 Median $144.54 Typical High $162.18 | Facility | None | $134.90 | $144.54 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $154.88 Typical High $177.83 | Professional | None | $134.90 | $154.88 | $177.83 |
Ambetter Setting Professional Modifier None Typical Low $208.93 Median $338.84 Typical High $338.84 | Professional | None | $208.93 | $338.84 | $338.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $173.78 Median $281.84 Typical High $295.12 | Facility | None | $173.78 | $281.84 | $295.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $158.49 Median $186.21 Typical High $213.80 | Professional | None | $158.49 | $186.21 | $213.80 |
CareSource Setting Facility Modifier None Typical Low $208.93 Median $275.42 Typical High $398.11 | Facility | None | $208.93 | $275.42 | $398.11 |
CareSource Setting Professional Modifier None Typical Low $275.42 Median $302.00 Typical High $416.87 | Professional | None | $275.42 | $302.00 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $144.54 Typical High $380.19 | Facility | None | $141.25 | $144.54 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $144.54 Typical High $1,348.96 | Professional | None | $104.71 | $144.54 | $1,348.96 |
Molina Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $257.04 | Professional | None | $213.80 | $213.80 | $257.04 |
United Setting Professional Modifier None Typical Low $91.20 Median $128.82 Typical High $204.17 | Professional | None | $91.20 | $128.82 | $204.17 |
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 $67.61 Median $74.13 Typical High $79.43 | Professional | 52 · Reduced service | $67.61 | $74.13 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $29.51 Typical High $32.36 | Professional | 53 · Discontinued | $26.92 | $29.51 | $32.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.95 Median $21.88 Typical High $23.99 | Professional | 55 · Aftercare only | $19.95 | $21.88 | $23.99 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.49 Median $14.79 Typical High $16.22 | Professional | 56 · Pre-op care only | $13.49 | $14.79 | $16.22 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | RR · Rental | $15.85 | $15.85 | $15.85 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $117.49 Median $117.49 Typical High $120.23 | Professional | UE · Used equipment | $117.49 | $117.49 | $120.23 |
Where Kentucky sits
The same service costs 2.2 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· 25th of 51
$178
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.