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 $758.58 Median $1,096.48 Typical High $1,288.25 | Facility | None | $758.58 | $1,096.48 | $1,288.25 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $1,230.27 Typical High $2,137.96 | Professional | None | $912.01 | $1,230.27 | $2,137.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,348.96 Median $2,187.76 Typical High $2,290.87 | Facility | None | $1,348.96 | $2,187.76 | $2,290.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,000.00 Median $1,258.93 Typical High $1,445.44 | Professional | None | $1,000.00 | $1,258.93 | $1,445.44 |
CareSource Setting Facility Modifier None Typical Low $1,380.38 Median $1,905.46 Typical High $3,090.30 | Facility | None | $1,380.38 | $1,905.46 | $3,090.30 |
CareSource Setting Professional Modifier None Typical Low $2,137.96 Median $2,691.53 Typical High $3,388.44 | Professional | None | $2,137.96 | $2,691.53 | $3,388.44 |
Cigna Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $3,311.31 | Facility | None | $1,621.81 | $1,621.81 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,621.81 Typical High $11,748.98 | Professional | None | $1,174.90 | $1,621.81 | $11,748.98 |
Molina Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,621.81 | Professional | None | $1,348.96 | $1,348.96 | $1,621.81 |
United Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $1,380.38 | Facility | None | $776.25 | $776.25 | $1,380.38 |
United Setting Professional Modifier None Typical Low $724.44 Median $1,071.52 Typical High $1,621.81 | Professional | None | $724.44 | $1,071.52 | $1,621.81 |
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 $457.09 Median $616.60 Typical High $1,071.52 | Professional | 52 · Reduced service | $457.09 | $616.60 | $1,071.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $245.47 Typical High $426.58 | Professional | 53 · Discontinued | $181.97 | $245.47 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $181.97 Typical High $316.23 | Professional | 55 · Aftercare only | $134.90 | $181.97 | $316.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $123.03 Typical High $213.80 | Professional | 56 · Pre-op care only | $91.20 | $123.03 | $213.80 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | RR · Rental | $128.82 | $128.82 | $128.82 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | UE · Used equipment | $954.99 | $954.99 | $954.99 |
Where Kentucky sits
The same service costs 2.7 times more in Hawaii than in Pennsylvania. 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· 40th of 51
$1,259
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.