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 $1,737.80 Median $2,630.27 Typical High $2,884.03 | Facility | None | $1,737.80 | $2,630.27 | $2,884.03 |
Aetna Setting Professional Modifier None Typical Low $2,187.76 Median $2,691.53 Typical High $5,128.61 | Professional | None | $2,187.76 | $2,691.53 | $5,128.61 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,235.94 Median $5,248.07 Typical High $5,495.41 | Facility | None | $3,235.94 | $5,248.07 | $5,495.41 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,398.83 Median $2,884.03 Typical High $3,467.37 | Professional | None | $2,398.83 | $2,884.03 | $3,467.37 |
CareSource Setting Facility Modifier None Typical Low $3,311.31 Median $4,570.88 Typical High $7,413.10 | Facility | None | $3,311.31 | $4,570.88 | $7,413.10 |
CareSource Setting Professional Modifier None Typical Low $5,128.61 Median $6,309.57 Typical High $8,128.31 | Professional | None | $5,128.61 | $6,309.57 | $8,128.31 |
Cigna Setting Facility Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $7,585.78 | Facility | None | $3,548.13 | $3,548.13 | $7,585.78 |
Cigna Setting Professional Modifier None Typical Low $2,630.27 Median $3,548.13 Typical High $26,915.35 | Professional | None | $2,630.27 | $3,548.13 | $26,915.35 |
Molina Setting Professional Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $3,890.45 | Professional | None | $3,235.94 | $3,235.94 | $3,890.45 |
United Setting Facility Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $4,365.16 | Facility | None | $3,235.94 | $3,235.94 | $4,365.16 |
United Setting Professional Modifier None Typical Low $1,737.80 Median $2,570.40 Typical High $3,715.35 | Professional | None | $1,737.80 | $2,570.40 | $3,715.35 |
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 $1,071.52 Median $1,348.96 Typical High $2,570.40 | Professional | 52 · Reduced service | $1,071.52 | $1,348.96 | $2,570.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $436.52 Median $537.03 Typical High $1,023.29 | Professional | 53 · Discontinued | $436.52 | $537.03 | $1,023.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $323.59 Median $407.38 Typical High $758.58 | Professional | 55 · Aftercare only | $323.59 | $407.38 | $758.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $218.78 Median $269.15 Typical High $512.86 | Professional | 56 · Pre-op care only | $218.78 | $269.15 | $512.86 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | RR · Rental | $295.12 | $295.12 | $295.12 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Professional | UE · Used equipment | $2,238.72 | $2,238.72 | $2,238.72 |
Where Kentucky sits
The same service costs 4.3 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· 38th of 51
$2,884
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.