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 $269.15 Typical High $269.15 | Facility | None | $190.55 | $269.15 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $269.15 Typical High $281.84 | Professional | None | $190.55 | $269.15 | $281.84 |
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 $346.74 | Professional | None | $245.47 | $316.23 | $346.74 |
CareSource Setting Facility Modifier None Typical Low $338.84 Median $467.74 Typical High $758.58 | Facility | None | $338.84 | $467.74 | $758.58 |
CareSource Setting Professional Modifier None Typical Low $524.81 Median $660.69 Typical High $831.76 | Professional | None | $524.81 | $660.69 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $794.33 | Facility | None | $338.84 | $338.84 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $338.84 Typical High $2,818.38 | Professional | None | $245.47 | $338.84 | $2,818.38 |
Molina Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $398.11 | Professional | None | $331.13 | $331.13 | $398.11 |
United Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $363.08 | Facility | None | $263.03 | $263.03 | $363.08 |
United Setting Professional Modifier None Typical Low $173.78 Median $263.03 Typical High $398.11 | Professional | None | $173.78 | $263.03 | $398.11 |
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 $95.50 Median $134.90 Typical High $138.04 | Professional | 52 · Reduced service | $95.50 | $134.90 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $38.02 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $40.74 Typical High $41.69 | Professional | 55 · Aftercare only | $28.84 | $40.74 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.05 Median $26.92 Typical High $27.54 | Professional | 56 · Pre-op care only | $19.05 | $26.92 | $27.54 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | RR · Rental | $31.62 | $31.62 | $31.62 |
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 2.8 times more in Wyoming 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
$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.