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 $660.69 Median $1,047.13 Typical High $1,258.93 | Facility | None | $660.69 | $1,047.13 | $1,258.93 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $1,174.90 Typical High $1,995.26 | Professional | None | $794.33 | $1,174.90 | $1,995.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,258.93 Median $2,041.74 Typical High $2,137.96 | Facility | None | $1,258.93 | $2,041.74 | $2,137.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $933.25 Median $1,122.02 Typical High $1,348.96 | Professional | None | $933.25 | $1,122.02 | $1,348.96 |
CareSource Setting Facility Modifier None Typical Low $1,288.25 Median $1,819.70 Typical High $2,884.03 | Facility | None | $1,288.25 | $1,819.70 | $2,884.03 |
CareSource Setting Professional Modifier None Typical Low $1,995.26 Median $2,511.89 Typical High $3,235.94 | Professional | None | $1,995.26 | $2,511.89 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $2,818.38 | Facility | None | $1,584.89 | $1,584.89 | $2,818.38 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,584.89 Typical High $10,232.93 | Professional | None | $1,148.15 | $1,584.89 | $10,232.93 |
Molina Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,548.82 | Professional | None | $1,288.25 | $1,288.25 | $1,548.82 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,258.93 | Facility | None | $1,202.26 | $1,202.26 | $1,258.93 |
United Setting Professional Modifier None Typical Low $676.08 Median $1,000.00 Typical High $1,412.54 | Professional | None | $676.08 | $1,000.00 | $1,412.54 |
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 $398.11 Median $588.84 Typical High $1,000.00 | Professional | 52 · Reduced service | $398.11 | $588.84 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $239.88 Typical High $398.11 | Professional | 53 · Discontinued | $158.49 | $239.88 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $177.83 Typical High $302.00 | Professional | 55 · Aftercare only | $120.23 | $177.83 | $302.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $117.49 Typical High $199.53 | Professional | 56 · Pre-op care only | $79.43 | $117.49 | $199.53 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | RR · Rental | $112.20 | $112.20 | $112.20 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $831.76 Median $831.76 Typical High $912.01 | Professional | UE · Used equipment | $831.76 | $831.76 | $912.01 |
Where Kentucky sits
The same service costs 2.8 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· 46th of 51
$1,122
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.