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 $1,905.46 Median $2,691.53 Typical High $3,019.95 | Facility | None | $1,905.46 | $2,691.53 | $3,019.95 |
Aetna Setting Professional Modifier None Typical Low $1,905.46 Median $2,818.38 Typical High $5,248.07 | Professional | None | $1,905.46 | $2,818.38 | $5,248.07 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,311.31 Median $5,370.32 Typical High $5,623.41 | Facility | None | $3,311.31 | $5,370.32 | $5,623.41 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,454.71 Median $3,162.28 Typical High $3,548.13 | Professional | None | $2,454.71 | $3,162.28 | $3,548.13 |
CareSource Setting Facility Modifier None Typical Low $3,388.44 Median $4,677.35 Typical High $7,585.78 | Facility | None | $3,388.44 | $4,677.35 | $7,585.78 |
CareSource Setting Professional Modifier None Typical Low $5,248.07 Median $6,456.54 Typical High $8,317.64 | Professional | None | $5,248.07 | $6,456.54 | $8,317.64 |
Cigna Setting Facility Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $8,128.31 | Facility | None | $3,715.35 | $3,715.35 | $8,128.31 |
Cigna Setting Professional Modifier None Typical Low $2,754.23 Median $3,715.35 Typical High $28,840.32 | Professional | None | $2,754.23 | $3,715.35 | $28,840.32 |
Molina Setting Professional Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $3,981.07 | Professional | None | $3,311.31 | $3,311.31 | $3,981.07 |
United Setting Facility Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Facility | None | $3,467.37 | $3,467.37 | $3,467.37 |
United Setting Professional Modifier None Typical Low $1,778.28 Median $2,630.27 Typical High $3,981.07 | Professional | None | $1,778.28 | $2,630.27 | $3,981.07 |
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 $1,122.02 Median $1,412.54 Typical High $2,630.27 | Professional | 52 · Reduced service | $1,122.02 | $1,412.54 | $2,630.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $446.68 Median $562.34 Typical High $1,047.13 | Professional | 53 · Discontinued | $446.68 | $562.34 | $1,047.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $331.13 Median $426.58 Typical High $776.25 | Professional | 55 · Aftercare only | $331.13 | $426.58 | $776.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $223.87 Median $281.84 Typical High $524.81 | Professional | 56 · Pre-op care only | $223.87 | $281.84 | $524.81 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | RR · Rental | $316.23 | $316.23 | $316.23 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Professional | UE · Used equipment | $2,398.83 | $2,398.83 | $2,398.83 |
Where Kentucky sits
The same service costs 2.9 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· 35th of 51
$3,162
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.