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 $1,659.59 Median $2,398.83 Typical High $2,951.21 | Facility | None | $1,659.59 | $2,398.83 | $2,951.21 |
Aetna Setting Professional Modifier None Typical Low $1,949.84 Median $2,754.23 Typical High $4,570.88 | Professional | None | $1,949.84 | $2,754.23 | $4,570.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,884.03 Median $4,677.35 Typical High $4,897.79 | Facility | None | $2,884.03 | $4,677.35 | $4,897.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,137.96 Median $2,754.23 Typical High $3,090.30 | Professional | None | $2,137.96 | $2,754.23 | $3,090.30 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,089.30 Median $2,089.30 Typical High $2,137.96 | Professional | UE · Used equipment | $2,089.30 | $2,089.30 | $2,137.96 |
CareSource Setting Facility Modifier None Typical Low $2,951.21 Median $4,168.69 Typical High $6,606.93 | Facility | None | $2,951.21 | $4,168.69 | $6,606.93 |
CareSource Setting Professional Modifier None Typical Low $4,570.88 Median $5,754.40 Typical High $7,413.10 | Professional | None | $4,570.88 | $5,754.40 | $7,413.10 |
Cigna Setting Facility Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $7,244.36 | Facility | None | $3,630.78 | $3,630.78 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $2,691.53 Median $3,630.78 Typical High $25,703.96 | Professional | None | $2,691.53 | $3,630.78 | $25,703.96 |
Molina Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $3,467.37 | Professional | None | $2,951.21 | $2,951.21 | $3,467.37 |
United Setting Facility Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,311.31 | Facility | None | $3,090.30 | $3,090.30 | $3,311.31 |
United Setting Professional Modifier None Typical Low $1,548.82 Median $2,290.87 Typical High $3,548.13 | Professional | None | $1,548.82 | $2,290.87 | $3,548.13 |
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 $977.24 Median $1,380.38 Typical High $2,290.87 | Professional | 52 · Reduced service | $977.24 | $1,380.38 | $2,290.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $389.05 Median $549.54 Typical High $912.01 | Professional | 53 · Discontinued | $389.05 | $549.54 | $912.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $295.12 Median $416.87 Typical High $691.83 | Professional | 55 · Aftercare only | $295.12 | $416.87 | $691.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $194.98 Median $275.42 Typical High $457.09 | Professional | 56 · Pre-op care only | $194.98 | $275.42 | $457.09 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | RR · Rental | $281.84 | $281.84 | $281.84 |
Where Kentucky sits
The same service costs 3.0 times more in Hawaii than in Pennsylvania. 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· 33rd of 51
$2,818
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.