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 $3,801.89 | Facility | None | $2,238.72 | $3,235.94 | $3,801.89 |
Aetna Setting Professional Modifier None Typical Low $2,630.27 Median $3,548.13 Typical High $6,165.95 | Professional | None | $2,630.27 | $3,548.13 | $6,165.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,890.45 Median $6,309.57 Typical High $6,606.93 | Facility | None | $3,890.45 | $6,309.57 | $6,606.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,884.03 Median $3,630.78 Typical High $4,168.69 | Professional | None | $2,884.03 | $3,630.78 | $4,168.69 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Professional | UE · Used equipment | $2,754.23 | $2,754.23 | $2,754.23 |
CareSource Setting Facility Modifier None Typical Low $3,981.07 Median $5,495.41 Typical High $8,912.51 | Facility | None | $3,981.07 | $5,495.41 | $8,912.51 |
CareSource Setting Professional Modifier None Typical Low $6,165.95 Median $7,762.47 Typical High $9,772.37 | Professional | None | $6,165.95 | $7,762.47 | $9,772.37 |
Cigna Setting Facility Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $10,232.93 | Facility | None | $4,677.35 | $4,677.35 | $10,232.93 |
Cigna Setting Professional Modifier None Typical Low $3,467.37 Median $4,677.35 Typical High $36,307.81 | Professional | None | $3,467.37 | $4,677.35 | $36,307.81 |
Molina Setting Professional Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $4,677.35 | Professional | None | $3,890.45 | $3,890.45 | $4,677.35 |
United Setting Facility Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $4,897.79 | Facility | None | $4,073.80 | $4,073.80 | $4,897.79 |
United Setting Professional Modifier None Typical Low $2,089.30 Median $3,090.30 Typical High $4,677.35 | Professional | None | $2,089.30 | $3,090.30 | $4,677.35 |
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 $1,318.26 Median $1,778.28 Typical High $3,090.30 | Professional | 52 · Reduced service | $1,318.26 | $1,778.28 | $3,090.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $524.81 Median $707.95 Typical High $1,230.27 | Professional | 53 · Discontinued | $524.81 | $707.95 | $1,230.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $389.05 Median $537.03 Typical High $933.25 | Professional | 55 · Aftercare only | $389.05 | $537.03 | $933.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $263.03 Median $354.81 Typical High $616.60 | Professional | 56 · Pre-op care only | $263.03 | $354.81 | $616.60 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | RR · Rental | $363.08 | $363.08 | $363.08 |
Where Kentucky sits
The same service costs 3.9 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· 39th of 51
$3,631
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.