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 $158.49 Median $223.87 Typical High $234.42 | Facility | None | $158.49 | $223.87 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $223.87 Typical High $446.68 | Professional | None | $190.55 | $223.87 | $446.68 |
Anthem BCBS Setting Facility Modifier None Typical Low $281.84 Median $457.09 Typical High $478.63 | Facility | None | $281.84 | $457.09 | $478.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $208.93 Median $257.04 Typical High $302.00 | Professional | None | $208.93 | $257.04 | $302.00 |
CareSource Setting Facility Modifier None Typical Low $295.12 Median $407.38 Typical High $645.65 | Facility | None | $295.12 | $407.38 | $645.65 |
CareSource Setting Professional Modifier None Typical Low $446.68 Median $562.34 Typical High $724.44 | Professional | None | $446.68 | $562.34 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $676.08 | Facility | None | $281.84 | $281.84 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $281.84 Typical High $2,454.71 | Professional | None | $204.17 | $281.84 | $2,454.71 |
Molina Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $346.74 | Professional | None | $288.40 | $288.40 | $346.74 |
United Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $389.05 | Facility | None | $288.40 | $288.40 | $389.05 |
United Setting Professional Modifier None Typical Low $147.91 Median $223.87 Typical High $331.13 | Professional | None | $147.91 | $223.87 | $331.13 |
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 $112.20 Typical High $223.87 | Professional | 52 · Reduced service | $95.50 | $112.20 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $44.67 Typical High $89.13 | Professional | 53 · Discontinued | $38.02 | $44.67 | $89.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $33.88 Typical High $67.61 | Professional | 55 · Aftercare only | $28.84 | $33.88 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.05 Median $22.39 Typical High $44.67 | Professional | 56 · Pre-op care only | $19.05 | $22.39 | $44.67 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | RR · Rental | $26.92 | $26.92 | $26.92 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | UE · Used equipment | $199.53 | $199.53 | $199.53 |
Where Kentucky sits
The same service costs 4.1 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· 39th of 51
$257
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.