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 $398.11 | Facility | None | $229.09 | $323.59 | $398.11 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $323.59 Typical High $660.69 | Professional | None | $229.09 | $323.59 | $660.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $489.78 Median $794.33 Typical High $831.76 | Facility | None | $489.78 | $794.33 | $831.76 |
Anthem BCBS Setting Professional Modifier None Typical Low $302.00 Median $371.54 Typical High $501.19 | Professional | None | $302.00 | $371.54 | $501.19 |
CareSource Setting Facility Modifier None Typical Low $501.19 Median $691.83 Typical High $1,122.02 | Facility | None | $501.19 | $691.83 | $1,122.02 |
CareSource Setting Professional Modifier None Typical Low $776.25 Median $954.99 Typical High $1,230.27 | Professional | None | $776.25 | $954.99 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $1,071.52 | Facility | None | $389.05 | $389.05 | $1,071.52 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $389.05 Typical High $3,388.44 | Professional | None | $281.84 | $389.05 | $3,388.44 |
Molina Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $588.84 | Professional | None | $489.78 | $489.78 | $588.84 |
United Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $331.13 | Facility | None | $281.84 | $281.84 | $331.13 |
United Setting Professional Modifier None Typical Low $257.04 Median $380.19 Typical High $512.86 | Professional | None | $257.04 | $380.19 | $512.86 |
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 $147.91 Median $162.18 Typical High $331.13 | Professional | 52 · Reduced service | $147.91 | $162.18 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $64.57 Typical High $131.83 | Professional | 53 · Discontinued | $58.88 | $64.57 | $131.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $48.98 Typical High $100.00 | Professional | 55 · Aftercare only | $44.67 | $48.98 | $100.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $32.36 Typical High $66.07 | Professional | 56 · Pre-op care only | $29.51 | $32.36 | $66.07 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | RR · Rental | $45.71 | $45.71 | $45.71 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | UE · Used equipment | $346.74 | $346.74 | $346.74 |
Where Kentucky sits
The same service costs 2.6 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
$389
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.