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 $302.00 Typical High $302.00 | Facility | None | $213.80 | $302.00 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $302.00 Typical High $588.84 | Professional | None | $213.80 | $302.00 | $588.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $371.54 Median $602.56 Typical High $630.96 | Facility | None | $371.54 | $602.56 | $630.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $275.42 Median $354.81 Typical High $398.11 | Professional | None | $275.42 | $354.81 | $398.11 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | UE · Used equipment | $269.15 | $269.15 | $269.15 |
CareSource Setting Facility Modifier None Typical Low $380.19 Median $524.81 Typical High $851.14 | Facility | None | $380.19 | $524.81 | $851.14 |
CareSource Setting Professional Modifier None Typical Low $588.84 Median $724.44 Typical High $933.25 | Professional | None | $588.84 | $724.44 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $912.01 | Facility | None | $380.19 | $380.19 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $380.19 Typical High $3,311.31 | Professional | None | $275.42 | $380.19 | $3,311.31 |
Molina Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $446.68 | Professional | None | $371.54 | $371.54 | $446.68 |
United Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $389.05 | Facility | None | $346.74 | $346.74 | $389.05 |
United Setting Professional Modifier None Typical Low $194.98 Median $295.12 Typical High $446.68 | Professional | None | $194.98 | $295.12 | $446.68 |
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 $107.15 Median $151.36 Typical High $295.12 | Professional | 52 · Reduced service | $107.15 | $151.36 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $60.26 Typical High $117.49 | Professional | 53 · Discontinued | $42.66 | $60.26 | $117.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $45.71 Typical High $87.10 | Professional | 55 · Aftercare only | $31.62 | $45.71 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $30.20 Typical High $58.88 | Professional | 56 · Pre-op care only | $21.38 | $30.20 | $58.88 |
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 |
Where Kentucky sits
The same service costs 3.2 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· 40th 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.