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 $707.95 Median $1,000.00 Typical High $1,000.00 | Facility | None | $707.95 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $1,000.00 Typical High $1,949.84 | Professional | None | $707.95 | $1,000.00 | $1,949.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,230.27 Median $1,995.26 Typical High $2,089.30 | Facility | None | $1,230.27 | $1,995.26 | $2,089.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $912.01 Median $1,174.90 Typical High $1,288.25 | Professional | None | $912.01 | $1,174.90 | $1,288.25 |
CareSource Setting Facility Modifier None Typical Low $1,258.93 Median $1,737.80 Typical High $2,818.38 | Facility | None | $1,258.93 | $1,737.80 | $2,818.38 |
CareSource Setting Professional Modifier None Typical Low $1,949.84 Median $2,398.83 Typical High $3,090.30 | Professional | None | $1,949.84 | $2,398.83 | $3,090.30 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $2,951.21 | Facility | None | $1,230.27 | $1,230.27 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $1,230.27 Typical High $10,715.19 | Professional | None | $891.25 | $1,230.27 | $10,715.19 |
Molina Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,479.11 | Professional | None | $1,230.27 | $1,230.27 | $1,479.11 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,202.26 | Facility | None | $1,071.52 | $1,071.52 | $1,202.26 |
United Setting Professional Modifier None Typical Low $645.65 Median $954.99 Typical High $1,479.11 | Professional | None | $645.65 | $954.99 | $1,479.11 |
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 $354.81 Median $501.19 Typical High $977.24 | Professional | 52 · Reduced service | $354.81 | $501.19 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $199.53 Typical High $389.05 | Professional | 53 · Discontinued | $141.25 | $199.53 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $151.36 Typical High $288.40 | Professional | 55 · Aftercare only | $104.71 | $151.36 | $288.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $100.00 Typical High $194.98 | Professional | 56 · Pre-op care only | $70.79 | $100.00 | $194.98 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | RR · Rental | $117.49 | $117.49 | $117.49 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | UE · Used equipment | $870.96 | $870.96 | $870.96 |
Where Kentucky sits
The same service costs 3.1 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· 36th of 51
$1,175
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.