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 $549.54 Median $588.84 Typical High $616.60 | Facility | None | $549.54 | $588.84 | $616.60 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $588.84 Typical High $645.65 | Professional | None | $549.54 | $588.84 | $645.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $707.95 Median $1,122.02 Typical High $1,202.26 | Facility | None | $707.95 | $1,122.02 | $1,202.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $776.25 | Professional | None | $660.69 | $660.69 | $776.25 |
CareSource Setting Facility Modifier None Typical Low $724.44 Median $1,000.00 Typical High $1,621.81 | Facility | None | $724.44 | $1,000.00 | $1,621.81 |
CareSource Setting Professional Modifier None Typical Low $1,122.02 Median $1,380.38 Typical High $1,778.28 | Professional | None | $1,122.02 | $1,380.38 | $1,778.28 |
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 $446.68 Median $616.60 Typical High $5,370.32 | Professional | None | $446.68 | $616.60 | $5,370.32 |
Molina Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $1,047.13 | Professional | None | $870.96 | $870.96 | $1,047.13 |
United Setting Professional Modifier None Typical Low $371.54 Median $524.81 Typical High $812.83 | Professional | None | $371.54 | $524.81 | $812.83 |
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 $275.42 Median $295.12 Typical High $323.59 | Professional | 52 · Reduced service | $275.42 | $295.12 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $117.49 Typical High $128.82 | Professional | 53 · Discontinued | $109.65 | $117.49 | $128.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $89.13 Typical High $97.72 | Professional | 55 · Aftercare only | $83.18 | $89.13 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $58.88 Typical High $64.57 | Professional | 56 · Pre-op care only | $54.95 | $58.88 | $64.57 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | RR · Rental | $66.07 | $66.07 | $66.07 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | UE · Used equipment | $489.78 | $489.78 | $489.78 |
Where Kentucky sits
The same service costs 2.6 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· 31st of 51
$661
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.