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 $1,071.52 Typical High $1,288.25 | Facility | None | $758.58 | $1,071.52 | $1,288.25 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $1,230.27 Typical High $2,089.30 | Professional | None | $758.58 | $1,230.27 | $2,089.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,318.26 Median $2,137.96 Typical High $2,238.72 | Facility | None | $1,318.26 | $2,137.96 | $2,238.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $977.24 Median $1,258.93 Typical High $1,380.38 | Professional | None | $977.24 | $1,258.93 | $1,380.38 |
CareSource Setting Facility Modifier None Typical Low $1,348.96 Median $1,862.09 Typical High $3,019.95 | Facility | None | $1,348.96 | $1,862.09 | $3,019.95 |
CareSource Setting Professional Modifier None Typical Low $2,089.30 Median $2,570.40 Typical High $3,311.31 | Professional | None | $2,089.30 | $2,570.40 | $3,311.31 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $3,235.94 | Facility | None | $1,288.25 | $1,288.25 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $1,288.25 Typical High $11,481.54 | Professional | None | $954.99 | $1,288.25 | $11,481.54 |
Molina Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,584.89 | Professional | None | $1,318.26 | $1,318.26 | $1,584.89 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,380.38 | Facility | None | $1,348.96 | $1,348.96 | $1,380.38 |
United Setting Professional Modifier None Typical Low $707.95 Median $1,023.29 Typical High $1,584.89 | Professional | None | $707.95 | $1,023.29 | $1,584.89 |
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 $436.52 Median $616.60 Typical High $1,047.13 | Professional | 52 · Reduced service | $436.52 | $616.60 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $245.47 Typical High $416.87 | Professional | 53 · Discontinued | $177.83 | $245.47 | $416.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $181.97 Typical High $309.03 | Professional | 55 · Aftercare only | $131.83 | $181.97 | $309.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $123.03 Typical High $208.93 | Professional | 56 · Pre-op care only | $87.10 | $123.03 | $208.93 |
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 3.4 times more in Hawaii than in Delaware. 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.