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 $398.11 Median $602.56 Typical High $707.95 | Facility | None | $398.11 | $602.56 | $707.95 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $660.69 Typical High $1,148.15 | Professional | None | $489.78 | $660.69 | $1,148.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $741.31 Median $1,174.90 Typical High $1,230.27 | Facility | None | $741.31 | $1,174.90 | $1,230.27 |
Anthem BCBS Setting Professional Modifier None Typical Low $537.03 Median $660.69 Typical High $776.25 | Professional | None | $537.03 | $660.69 | $776.25 |
CareSource Setting Facility Modifier None Typical Low $758.58 Median $1,047.13 Typical High $1,659.59 | Facility | None | $758.58 | $1,047.13 | $1,659.59 |
CareSource Setting Professional Modifier None Typical Low $1,148.15 Median $1,445.44 Typical High $1,862.09 | Professional | None | $1,148.15 | $1,445.44 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $1,659.59 | Facility | None | $870.96 | $870.96 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $870.96 Typical High $5,888.44 | Professional | None | $645.65 | $870.96 | $5,888.44 |
Molina Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $891.25 | Professional | None | $741.31 | $741.31 | $891.25 |
United Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $645.65 | Facility | None | $616.60 | $616.60 | $645.65 |
United Setting Professional Modifier None Typical Low $398.11 Median $575.44 Typical High $831.76 | Professional | None | $398.11 | $575.44 | $831.76 |
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 $245.47 Median $331.13 Typical High $575.44 | Professional | 52 · Reduced service | $245.47 | $331.13 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $131.83 Typical High $229.09 | Professional | 53 · Discontinued | $97.72 | $131.83 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $100.00 Typical High $173.78 | Professional | 55 · Aftercare only | $74.13 | $100.00 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $48.98 Median $66.07 Typical High $114.82 | Professional | 56 · Pre-op care only | $48.98 | $66.07 | $114.82 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | RR · Rental | $66.07 | $66.07 | $66.07 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $489.78 Median $489.78 Typical High $512.86 | Professional | UE · Used equipment | $489.78 | $489.78 | $512.86 |
Where Kentucky sits
The same service costs 2.3 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· 37th of 51
$661
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.