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 $194.98 Median $281.84 Typical High $346.74 | Facility | None | $194.98 | $281.84 | $346.74 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $323.59 Typical High $537.03 | Professional | None | $194.98 | $323.59 | $537.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $338.84 Median $549.54 Typical High $575.44 | Facility | None | $338.84 | $549.54 | $575.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $251.19 Median $323.59 Typical High $363.08 | Professional | None | $251.19 | $323.59 | $363.08 |
CareSource Setting Facility Modifier None Typical Low $346.74 Median $489.78 Typical High $776.25 | Facility | None | $346.74 | $489.78 | $776.25 |
CareSource Setting Professional Modifier None Typical Low $537.03 Median $676.08 Typical High $870.96 | Professional | None | $537.03 | $676.08 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $831.76 | Facility | None | $398.11 | $398.11 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $398.11 Typical High $2,951.21 | Professional | None | $288.40 | $398.11 | $2,951.21 |
Molina Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $407.38 | Professional | None | $346.74 | $346.74 | $407.38 |
United Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $331.13 | Facility | None | $281.84 | $281.84 | $331.13 |
United Setting Professional Modifier None Typical Low $181.97 Median $269.15 Typical High $416.87 | Professional | None | $181.97 | $269.15 | $416.87 |
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 $114.82 Median $162.18 Typical High $269.15 | Professional | 52 · Reduced service | $114.82 | $162.18 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $64.57 Typical High $107.15 | Professional | 53 · Discontinued | $45.71 | $64.57 | $107.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $48.98 Typical High $81.28 | Professional | 55 · Aftercare only | $34.67 | $48.98 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $32.36 Typical High $53.70 | Professional | 56 · Pre-op care only | $22.91 | $32.36 | $53.70 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | RR · Rental | $32.36 | $32.36 | $32.36 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $239.88 Median $239.88 Typical High $251.19 | Professional | UE · Used equipment | $239.88 | $239.88 | $251.19 |
Where Kentucky sits
The same service costs 2.6 times more in Hawaii than in Washington, DC. 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· 39th of 51
$324
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.