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 $1,047.13 Median $1,479.11 Typical High $1,513.56 | Facility | None | $1,047.13 | $1,479.11 | $1,513.56 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,513.56 Typical High $2,884.03 | Professional | None | $1,202.26 | $1,513.56 | $2,884.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,819.70 Median $2,884.03 Typical High $3,090.30 | Facility | None | $1,819.70 | $2,884.03 | $3,090.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,348.96 Median $1,698.24 Typical High $1,949.84 | Professional | None | $1,348.96 | $1,698.24 | $1,949.84 |
CareSource Setting Facility Modifier None Typical Low $1,862.09 Median $2,570.40 Typical High $4,168.69 | Facility | None | $1,862.09 | $2,570.40 | $4,168.69 |
CareSource Setting Professional Modifier None Typical Low $2,884.03 Median $3,548.13 Typical High $4,570.88 | Professional | None | $2,884.03 | $3,548.13 | $4,570.88 |
Cigna Setting Facility Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $4,466.84 | Facility | None | $2,041.74 | $2,041.74 | $4,466.84 |
Cigna Setting Professional Modifier None Typical Low $1,513.56 Median $2,041.74 Typical High $15,848.93 | Professional | None | $1,513.56 | $2,041.74 | $15,848.93 |
Molina Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $2,187.76 | Professional | None | $1,819.70 | $1,819.70 | $2,187.76 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $1,949.84 | Facility | None | $1,905.46 | $1,905.46 | $1,949.84 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,412.54 Typical High $2,187.76 | Professional | None | $977.24 | $1,412.54 | $2,187.76 |
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 $602.56 Median $758.58 Typical High $1,412.54 | Professional | 52 · Reduced service | $602.56 | $758.58 | $1,412.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $302.00 Typical High $575.44 | Professional | 53 · Discontinued | $245.47 | $302.00 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $223.87 Typical High $426.58 | Professional | 55 · Aftercare only | $181.97 | $223.87 | $426.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $151.36 Typical High $288.40 | Professional | 56 · Pre-op care only | $120.23 | $151.36 | $288.40 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | RR · Rental | $169.82 | $169.82 | $169.82 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | UE · Used equipment | $1,288.25 | $1,288.25 | $1,288.25 |
Where Kentucky sits
The same service costs 3.1 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· 38th of 51
$1,698
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.