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 $891.25 Median $1,258.93 Typical High $1,412.54 | Facility | None | $891.25 | $1,258.93 | $1,412.54 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,348.96 Typical High $2,398.83 | Professional | None | $1,023.29 | $1,348.96 | $2,398.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,548.82 Median $2,454.71 Typical High $2,570.40 | Facility | None | $1,548.82 | $2,454.71 | $2,570.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,122.02 Median $1,445.44 Typical High $1,659.59 | Professional | None | $1,122.02 | $1,445.44 | $1,659.59 |
CareSource Setting Facility Modifier None Typical Low $1,584.89 Median $2,187.76 Typical High $3,548.13 | Facility | None | $1,584.89 | $2,187.76 | $3,548.13 |
CareSource Setting Professional Modifier None Typical Low $2,398.83 Median $3,019.95 Typical High $3,890.45 | Professional | None | $2,398.83 | $3,019.95 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $3,801.89 | Facility | None | $1,778.28 | $1,778.28 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,778.28 Typical High $13,489.63 | Professional | None | $1,288.25 | $1,778.28 | $13,489.63 |
Molina Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,862.09 | Professional | None | $1,548.82 | $1,548.82 | $1,862.09 |
United Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,548.82 | Facility | None | $1,412.54 | $1,412.54 | $1,548.82 |
United Setting Professional Modifier None Typical Low $831.76 Median $1,202.26 Typical High $1,862.09 | Professional | None | $831.76 | $1,202.26 | $1,862.09 |
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 $512.86 Median $660.69 Typical High $1,202.26 | Professional | 52 · Reduced service | $512.86 | $660.69 | $1,202.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $269.15 Typical High $489.78 | Professional | 53 · Discontinued | $204.17 | $269.15 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $199.53 Typical High $363.08 | Professional | 55 · Aftercare only | $154.88 | $199.53 | $363.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $134.90 Typical High $239.88 | Professional | 56 · Pre-op care only | $102.33 | $134.90 | $239.88 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | RR · Rental | $147.91 | $147.91 | $147.91 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | UE · Used equipment | $1,122.02 | $1,122.02 | $1,122.02 |
Where Kentucky sits
The same service costs 2.7 times more in Hawaii than in Maryland. 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· 41st of 51
$1,445
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.