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 $501.19 Median $707.95 Typical High $831.76 | Facility | None | $501.19 | $707.95 | $831.76 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $776.25 Typical High $1,380.38 | Professional | None | $588.84 | $776.25 | $1,380.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $870.96 Median $1,412.54 Typical High $1,479.11 | Facility | None | $870.96 | $1,412.54 | $1,479.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $645.65 Median $831.76 Typical High $933.25 | Professional | None | $645.65 | $831.76 | $933.25 |
CareSource Setting Facility Modifier None Typical Low $891.25 Median $1,230.27 Typical High $1,995.26 | Facility | None | $891.25 | $1,230.27 | $1,995.26 |
CareSource Setting Professional Modifier None Typical Low $1,380.38 Median $1,698.24 Typical High $2,187.76 | Professional | None | $1,380.38 | $1,698.24 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $2,089.30 | Facility | None | $1,047.13 | $1,047.13 | $2,089.30 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $1,047.13 Typical High $7,413.10 | Professional | None | $758.58 | $1,047.13 | $7,413.10 |
Molina Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $1,047.13 | Professional | None | $870.96 | $870.96 | $1,047.13 |
United Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $1,000.00 | Facility | None | $912.01 | $912.01 | $1,000.00 |
United Setting Professional Modifier None Typical Low $467.74 Median $691.83 Typical High $1,047.13 | Professional | None | $467.74 | $691.83 | $1,047.13 |
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 $295.12 Median $389.05 Typical High $691.83 | Professional | 52 · Reduced service | $295.12 | $389.05 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $154.88 Typical High $275.42 | Professional | 53 · Discontinued | $117.49 | $154.88 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $117.49 Typical High $204.17 | Professional | 55 · Aftercare only | $87.10 | $117.49 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $77.62 Typical High $138.04 | Professional | 56 · Pre-op care only | $58.88 | $77.62 | $138.04 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | RR · Rental | $83.18 | $83.18 | $83.18 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | UE · Used equipment | $630.96 | $630.96 | $630.96 |
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· 36th of 51
$832
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.