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 $190.55 Median $275.42 Typical High $275.42 | Facility | None | $190.55 | $275.42 | $275.42 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $275.42 Typical High $524.81 | Professional | None | $190.55 | $275.42 | $524.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $331.13 Median $537.03 Typical High $562.34 | Facility | None | $331.13 | $537.03 | $562.34 |
Anthem BCBS Setting Professional Modifier None Typical Low $245.47 Median $316.23 Typical High $354.81 | Professional | None | $245.47 | $316.23 | $354.81 |
CareSource Setting Facility Modifier None Typical Low $346.74 Median $478.63 Typical High $758.58 | Facility | None | $346.74 | $478.63 | $758.58 |
CareSource Setting Professional Modifier None Typical Low $524.81 Median $660.69 Typical High $851.14 | Professional | None | $524.81 | $660.69 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $812.83 | Facility | None | $331.13 | $331.13 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $331.13 Typical High $2,951.21 | Professional | None | $239.88 | $331.13 | $2,951.21 |
Molina Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $407.38 | Professional | None | $338.84 | $338.84 | $407.38 |
United Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $263.03 | Facility | None | $218.78 | $218.78 | $263.03 |
United Setting Professional Modifier None Typical Low $173.78 Median $263.03 Typical High $407.38 | Professional | None | $173.78 | $263.03 | $407.38 |
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 $95.50 Median $138.04 Typical High $263.03 | Professional | 52 · Reduced service | $95.50 | $138.04 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $54.95 Typical High $104.71 | Professional | 53 · Discontinued | $38.02 | $54.95 | $104.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $40.74 Typical High $77.62 | Professional | 55 · Aftercare only | $28.84 | $40.74 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.05 Median $27.54 Typical High $52.48 | Professional | 56 · Pre-op care only | $19.05 | $27.54 | $52.48 |
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 $239.88 | Professional | UE · Used equipment | $239.88 | $239.88 | $239.88 |
Where Kentucky sits
The same service costs 2.4 times more in Arkansas than in Florida. 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· 43rd of 51
$316
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.