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 $239.88 Median $338.84 Typical High $389.05 | Facility | None | $239.88 | $338.84 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $363.08 Typical High $446.68 | Professional | None | $239.88 | $363.08 | $446.68 |
Anthem BCBS Setting Facility Modifier None Typical Low $416.87 Median $660.69 Typical High $707.95 | Facility | None | $416.87 | $660.69 | $707.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $309.03 Median $389.05 Typical High $446.68 | Professional | None | $309.03 | $389.05 | $446.68 |
CareSource Setting Facility Modifier None Typical Low $426.58 Median $588.84 Typical High $954.99 | Facility | None | $426.58 | $588.84 | $954.99 |
CareSource Setting Professional Modifier None Typical Low $660.69 Median $812.83 Typical High $1,047.13 | Professional | None | $660.69 | $812.83 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $977.24 | Facility | None | $489.78 | $489.78 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $489.78 Typical High $3,467.37 | Professional | None | $354.81 | $489.78 | $3,467.37 |
Molina Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $501.19 | Professional | None | $416.87 | $416.87 | $501.19 |
United Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $323.59 | Facility | None | $165.96 | $165.96 | $323.59 |
United Setting Professional Modifier None Typical Low $223.87 Median $323.59 Typical High $501.19 | Professional | None | $223.87 | $323.59 | $501.19 |
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 $138.04 Median $181.97 Typical High $223.87 | Professional | 52 · Reduced service | $138.04 | $181.97 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $72.44 Typical High $89.13 | Professional | 53 · Discontinued | $56.23 | $72.44 | $89.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $54.95 Typical High $66.07 | Professional | 55 · Aftercare only | $41.69 | $54.95 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $36.31 Typical High $44.67 | Professional | 56 · Pre-op care only | $27.54 | $36.31 | $44.67 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | RR · Rental | $39.81 | $39.81 | $39.81 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | UE · Used equipment | $295.12 | $295.12 | $295.12 |
Where Kentucky sits
The same service costs 2.4 times more in Iowa than in Kansas. 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
$389
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.