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 $2,238.72 Median $3,235.94 Typical High $3,890.45 | Facility | None | $2,238.72 | $3,235.94 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $2,630.27 Median $3,630.78 Typical High $6,165.95 | Professional | None | $2,630.27 | $3,630.78 | $6,165.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,981.07 Median $6,309.57 Typical High $6,606.93 | Facility | None | $3,981.07 | $6,309.57 | $6,606.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,884.03 Median $3,715.35 Typical High $4,168.69 | Professional | None | $2,884.03 | $3,715.35 | $4,168.69 |
CareSource Setting Facility Modifier None Typical Low $4,073.80 Median $5,623.41 Typical High $8,912.51 | Facility | None | $4,073.80 | $5,623.41 | $8,912.51 |
CareSource Setting Professional Modifier None Typical Low $6,165.95 Median $7,762.47 Typical High $10,000.00 | Professional | None | $6,165.95 | $7,762.47 | $10,000.00 |
Cigna Setting Facility Modifier None Typical Low $4,897.79 Median $4,897.79 Typical High $9,772.37 | Facility | None | $4,897.79 | $4,897.79 | $9,772.37 |
Cigna Setting Professional Modifier None Typical Low $3,548.13 Median $4,897.79 Typical High $34,673.69 | Professional | None | $3,548.13 | $4,897.79 | $34,673.69 |
Molina Setting Professional Modifier None Typical Low $3,981.07 Median $3,981.07 Typical High $4,786.30 | Professional | None | $3,981.07 | $3,981.07 | $4,786.30 |
United Setting Facility Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $5,370.32 | Facility | None | $4,073.80 | $4,073.80 | $5,370.32 |
United Setting Professional Modifier None Typical Low $2,137.96 Median $3,090.30 Typical High $4,786.30 | Professional | None | $2,137.96 | $3,090.30 | $4,786.30 |
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 $1,318.26 Median $1,819.70 Typical High $3,090.30 | Professional | 52 · Reduced service | $1,318.26 | $1,819.70 | $3,090.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $524.81 Median $741.31 Typical High $1,230.27 | Professional | 53 · Discontinued | $524.81 | $741.31 | $1,230.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $398.11 Median $549.54 Typical High $933.25 | Professional | 55 · Aftercare only | $398.11 | $549.54 | $933.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $263.03 Median $363.08 Typical High $616.60 | Professional | 56 · Pre-op care only | $263.03 | $363.08 | $616.60 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | RR · Rental | $380.19 | $380.19 | $380.19 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Professional | UE · Used equipment | $2,818.38 | $2,818.38 | $2,818.38 |
Where Kentucky sits
The same service costs 3.5 times more in Hawaii than in Washington, DC. 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
$3,802
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.