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 $467.74 Median $676.08 Typical High $891.25 | Facility | None | $467.74 | $676.08 | $891.25 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $676.08 Typical High $1,380.38 | Professional | None | $602.56 | $676.08 | $1,380.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,096.48 Median $1,737.80 Typical High $1,862.09 | Facility | None | $1,096.48 | $1,737.80 | $1,862.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $645.65 Median $794.33 Typical High $1,174.90 | Professional | None | $645.65 | $794.33 | $1,174.90 |
CareSource Setting Facility Modifier None Typical Low $1,122.02 Median $1,548.82 Typical High $2,511.89 | Facility | None | $1,122.02 | $1,548.82 | $2,511.89 |
CareSource Setting Professional Modifier None Typical Low $1,737.80 Median $2,137.96 Typical High $2,754.23 | Professional | None | $1,737.80 | $2,137.96 | $2,754.23 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $2,398.83 | Facility | None | $912.01 | $912.01 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $912.01 Typical High $7,079.46 | Professional | None | $660.69 | $912.01 | $7,079.46 |
Molina Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,318.26 | Professional | None | $1,096.48 | $1,096.48 | $1,318.26 |
United Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $676.08 | Facility | None | $575.44 | $575.44 | $676.08 |
United Setting Professional Modifier None Typical Low $575.44 Median $831.76 Typical High $1,122.02 | Professional | None | $575.44 | $831.76 | $1,122.02 |
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 $302.00 Median $338.84 Typical High $691.83 | Professional | 52 · Reduced service | $302.00 | $338.84 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $134.90 Typical High $275.42 | Professional | 53 · Discontinued | $123.03 | $134.90 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $100.00 Typical High $208.93 | Professional | 55 · Aftercare only | $91.20 | $100.00 | $208.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $67.61 Typical High $138.04 | Professional | 56 · Pre-op care only | $60.26 | $67.61 | $138.04 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | RR · Rental | $79.43 | $79.43 | $79.43 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | UE · Used equipment | $588.84 | $588.84 | $588.84 |
Where Kentucky sits
The same service costs 2.3 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· 41st of 51
$794
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.