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 $213.80 Median $316.23 Typical High $407.38 | Facility | None | $213.80 | $316.23 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $380.19 Typical High $602.56 | Professional | None | $213.80 | $380.19 | $602.56 |
Anthem BCBS Setting Facility Modifier None Typical Low $380.19 Median $616.60 Typical High $645.65 | Facility | None | $380.19 | $616.60 | $645.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $281.84 Median $354.81 Typical High $407.38 | Professional | None | $281.84 | $354.81 | $407.38 |
CareSource Setting Facility Modifier None Typical Low $389.05 Median $549.54 Typical High $870.96 | Facility | None | $389.05 | $549.54 | $870.96 |
CareSource Setting Professional Modifier None Typical Low $602.56 Median $758.58 Typical High $977.24 | Professional | None | $602.56 | $758.58 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $912.01 | Facility | None | $501.19 | $501.19 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $489.78 Typical High $3,235.94 | Professional | None | $371.54 | $489.78 | $3,235.94 |
Molina Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $457.09 | Professional | None | $389.05 | $389.05 | $457.09 |
United Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
United Setting Professional Modifier None Typical Low $204.17 Median $302.00 Typical High $446.68 | Professional | None | $204.17 | $302.00 | $446.68 |
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 $128.82 Median $190.55 Typical High $302.00 | Professional | 52 · Reduced service | $128.82 | $190.55 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $75.86 Typical High $120.23 | Professional | 53 · Discontinued | $51.29 | $75.86 | $120.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $57.54 Typical High $91.20 | Professional | 55 · Aftercare only | $38.02 | $57.54 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.70 Median $38.02 Typical High $60.26 | Professional | 56 · Pre-op care only | $25.70 | $38.02 | $60.26 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | RR · Rental | $35.48 | $35.48 | $35.48 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $269.15 Median $269.15 Typical High $295.12 | Professional | UE · Used equipment | $269.15 | $269.15 | $295.12 |
Where Kentucky sits
The same service costs 3.0 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· 45th of 51
$355
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.