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 $912.01 Median $1,288.25 Typical High $1,584.89 | Facility | None | $912.01 | $1,288.25 | $1,584.89 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,479.11 Typical High $2,511.89 | Professional | None | $1,047.13 | $1,479.11 | $2,511.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,584.89 Median $2,511.89 Typical High $2,691.53 | Facility | None | $1,584.89 | $2,511.89 | $2,691.53 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,174.90 Median $1,479.11 Typical High $1,698.24 | Professional | None | $1,174.90 | $1,479.11 | $1,698.24 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | UE · Used equipment | $1,148.15 | $1,148.15 | $1,148.15 |
CareSource Setting Facility Modifier None Typical Low $1,621.81 Median $2,238.72 Typical High $3,630.78 | Facility | None | $1,621.81 | $2,238.72 | $3,630.78 |
CareSource Setting Professional Modifier None Typical Low $2,511.89 Median $3,090.30 Typical High $3,981.07 | Professional | None | $2,511.89 | $3,090.30 | $3,981.07 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $3,981.07 | Facility | None | $1,548.82 | $1,548.82 | $3,981.07 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,548.82 Typical High $14,125.38 | Professional | None | $1,122.02 | $1,548.82 | $14,125.38 |
Molina Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,905.46 | Professional | None | $1,584.89 | $1,584.89 | $1,905.46 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,698.24 | Facility | None | $1,479.11 | $1,479.11 | $1,698.24 |
United Setting Professional Modifier None Typical Low $851.14 Median $1,230.27 Typical High $1,905.46 | Professional | None | $851.14 | $1,230.27 | $1,905.46 |
5 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 $524.81 Median $741.31 Typical High $1,230.27 | Professional | 52 · Reduced service | $524.81 | $741.31 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $295.12 Typical High $501.19 | Professional | 53 · Discontinued | $208.93 | $295.12 | $501.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $223.87 Typical High $371.54 | Professional | 55 · Aftercare only | $158.49 | $223.87 | $371.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $147.91 Typical High $251.19 | Professional | 56 · Pre-op care only | $104.71 | $147.91 | $251.19 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | RR · Rental | $151.36 | $151.36 | $151.36 |
Where Kentucky sits
The same service costs 3.0 times more in Iowa 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· 37th of 51
$1,514
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.