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 $229.09 Median $323.59 Typical High $380.19 | Facility | None | $229.09 | $323.59 | $380.19 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $354.81 Typical High $630.96 | Professional | None | $269.15 | $354.81 | $630.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $398.11 Median $645.65 Typical High $676.08 | Facility | None | $398.11 | $645.65 | $676.08 |
Anthem BCBS Setting Professional Modifier None Typical Low $295.12 Median $380.19 Typical High $426.58 | Professional | None | $295.12 | $380.19 | $426.58 |
CareSource Setting Facility Modifier None Typical Low $407.38 Median $562.34 Typical High $912.01 | Facility | None | $407.38 | $562.34 | $912.01 |
CareSource Setting Professional Modifier None Typical Low $630.96 Median $776.25 Typical High $1,000.00 | Professional | None | $630.96 | $776.25 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $977.24 | Facility | None | $467.74 | $467.74 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $467.74 Typical High $3,467.37 | Professional | None | $338.84 | $467.74 | $3,467.37 |
Molina Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $478.63 | Professional | None | $398.11 | $398.11 | $478.63 |
United Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $416.87 | Facility | None | $380.19 | $380.19 | $416.87 |
United Setting Professional Modifier None Typical Low $213.80 Median $316.23 Typical High $478.63 | Professional | None | $213.80 | $316.23 | $478.63 |
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 $131.83 Median $177.83 Typical High $316.23 | Professional | 52 · Reduced service | $131.83 | $177.83 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $70.79 Typical High $125.89 | Professional | 53 · Discontinued | $53.70 | $70.79 | $125.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $52.48 Typical High $93.33 | Professional | 55 · Aftercare only | $39.81 | $52.48 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $35.48 Typical High $63.10 | Professional | 56 · Pre-op care only | $26.92 | $35.48 | $63.10 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | RR · Rental | $38.02 | $38.02 | $38.02 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | UE · Used equipment | $288.40 | $288.40 | $288.40 |
Where Kentucky sits
The same service costs 2.9 times more in Hawaii than in Florida. 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
$380
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.