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 $309.03 Typical High $346.74 | Facility | None | $213.80 | $309.03 | $346.74 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $323.59 Typical High $588.84 | Professional | None | $213.80 | $323.59 | $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 $389.05 Median $537.03 Typical High $851.14 | Facility | None | $389.05 | $537.03 | $851.14 |
CareSource Setting Professional Modifier None Typical Low $588.84 Median $741.31 Typical High $954.99 | Professional | None | $588.84 | $741.31 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $912.01 | Facility | None | $398.11 | $398.11 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $398.11 Typical High $3,311.31 | Professional | None | $295.12 | $398.11 | $3,311.31 |
Molina Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $457.09 | Professional | None | $380.19 | $380.19 | $457.09 |
United Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
United Setting Professional Modifier None Typical Low $199.53 Median $295.12 Typical High $457.09 | Professional | None | $199.53 | $295.12 | $457.09 |
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 $125.89 Median $162.18 Typical High $295.12 | Professional | 52 · Reduced service | $125.89 | $162.18 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $64.57 Typical High $117.49 | Professional | 53 · Discontinued | $50.12 | $64.57 | $117.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $48.98 Typical High $89.13 | Professional | 55 · Aftercare only | $38.02 | $48.98 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $32.36 Typical High $58.88 | Professional | 56 · Pre-op care only | $25.12 | $32.36 | $58.88 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | RR · Rental | $36.31 | $36.31 | $36.31 |
Where Kentucky sits
The same service costs 3.7 times more in Hawaii than in Pennsylvania. 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
$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.