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 $1,047.13 Median $1,513.56 Typical High $1,819.70 | Facility | None | $1,047.13 | $1,513.56 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,698.24 Typical High $2,884.03 | Professional | None | $1,047.13 | $1,698.24 | $2,884.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,862.09 Median $2,951.21 Typical High $3,090.30 | Facility | None | $1,862.09 | $2,951.21 | $3,090.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,348.96 Median $1,737.80 Typical High $1,995.26 | Professional | None | $1,348.96 | $1,737.80 | $1,995.26 |
CareSource Setting Facility Modifier None Typical Low $1,905.46 Median $2,630.27 Typical High $4,265.80 | Facility | None | $1,905.46 | $2,630.27 | $4,265.80 |
CareSource Setting Professional Modifier None Typical Low $2,884.03 Median $3,630.78 Typical High $4,677.35 | Professional | None | $2,884.03 | $3,630.78 | $4,677.35 |
Cigna Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $4,570.88 | Facility | None | $1,819.70 | $1,819.70 | $4,570.88 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $1,819.70 Typical High $16,218.10 | Professional | None | $1,318.26 | $1,819.70 | $16,218.10 |
Molina Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $2,238.72 | Professional | None | $1,862.09 | $1,862.09 | $2,238.72 |
United Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $2,041.74 | Facility | None | $1,778.28 | $1,778.28 | $2,041.74 |
United Setting Professional Modifier None Typical Low $1,000.00 Median $1,445.44 Typical High $2,238.72 | Professional | None | $1,000.00 | $1,445.44 | $2,238.72 |
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 $616.60 Median $851.14 Typical High $1,445.44 | Professional | 52 · Reduced service | $616.60 | $851.14 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $338.84 Typical High $588.84 | Professional | 53 · Discontinued | $245.47 | $338.84 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $257.04 Typical High $436.52 | Professional | 55 · Aftercare only | $186.21 | $257.04 | $436.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $169.82 Typical High $288.40 | Professional | 56 · Pre-op care only | $123.03 | $169.82 | $288.40 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | RR · Rental | $177.83 | $177.83 | $177.83 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | UE · Used equipment | $1,318.26 | $1,318.26 | $1,318.26 |
Where Kentucky sits
The same service costs 3.1 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· 39th of 51
$1,738
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.