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 $123.03 Median $181.97 Typical High $239.88 | Facility | None | $123.03 | $181.97 | $239.88 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $204.17 Typical High $239.88 | Professional | None | $109.65 | $204.17 | $239.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $218.78 Median $346.74 Typical High $363.08 | Facility | None | $218.78 | $346.74 | $363.08 |
Anthem BCBS Setting Professional Modifier None Typical Low $158.49 Median $199.53 Typical High $229.09 | Professional | None | $158.49 | $199.53 | $229.09 |
CareSource Setting Facility Modifier None Typical Low $223.87 Median $309.03 Typical High $489.78 | Facility | None | $223.87 | $309.03 | $489.78 |
CareSource Setting Professional Modifier None Typical Low $338.84 Median $426.58 Typical High $549.54 | Professional | None | $338.84 | $426.58 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $245.47 Typical High $562.34 | Facility | None | $229.09 | $245.47 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $229.09 Typical High $1,995.26 | Professional | None | $165.96 | $229.09 | $1,995.26 |
Molina Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $263.03 | Professional | None | $218.78 | $218.78 | $263.03 |
United Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $251.19 | Facility | None | $229.09 | $229.09 | $251.19 |
United Setting Professional Modifier None Typical Low $114.82 Median $169.82 Typical High $263.03 | Professional | None | $114.82 | $169.82 | $263.03 |
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 $75.86 Median $114.82 Typical High $120.23 | Professional | 52 · Reduced service | $75.86 | $114.82 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $45.71 Typical High $47.86 | Professional | 53 · Discontinued | $30.20 | $45.71 | $47.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $33.88 Typical High $35.48 | Professional | 55 · Aftercare only | $22.39 | $33.88 | $35.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $22.91 Typical High $23.99 | Professional | 56 · Pre-op care only | $15.14 | $22.91 | $23.99 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | RR · Rental | $20.42 | $20.42 | $20.42 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | UE · Used equipment | $154.88 | $154.88 | $154.88 |
Where Kentucky sits
The same service costs 3.5 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
$200
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.