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 $316.23 Median $457.09 Typical High $489.78 | Facility | None | $316.23 | $457.09 | $489.78 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $467.74 Typical High $870.96 | Professional | None | $316.23 | $467.74 | $870.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $549.54 Median $891.25 Typical High $933.25 | Facility | None | $549.54 | $891.25 | $933.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $407.38 Median $524.81 Typical High $575.44 | Professional | None | $407.38 | $524.81 | $575.44 |
CareSource Setting Facility Modifier None Typical Low $575.44 Median $794.33 Typical High $1,258.93 | Facility | None | $575.44 | $794.33 | $1,258.93 |
CareSource Setting Professional Modifier None Typical Low $870.96 Median $1,096.48 Typical High $1,412.54 | Professional | None | $870.96 | $1,096.48 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $1,380.38 | Facility | None | $616.60 | $616.60 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $616.60 Typical High $5,011.87 | Professional | None | $446.68 | $616.60 | $5,011.87 |
Molina Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $676.08 | Professional | None | $562.34 | $562.34 | $676.08 |
United Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $707.95 | Facility | None | $588.84 | $588.84 | $707.95 |
United Setting Professional Modifier None Typical Low $295.12 Median $436.52 Typical High $676.08 | Professional | None | $295.12 | $436.52 | $676.08 |
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 $186.21 Median $229.09 Typical High $436.52 | Professional | 52 · Reduced service | $186.21 | $229.09 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $93.33 Typical High $173.78 | Professional | 53 · Discontinued | $74.13 | $93.33 | $173.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $69.18 Typical High $131.83 | Professional | 55 · Aftercare only | $56.23 | $69.18 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $46.77 Typical High $87.10 | Professional | 56 · Pre-op care only | $37.15 | $46.77 | $87.10 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | RR · Rental | $53.70 | $53.70 | $53.70 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | UE · Used equipment | $398.11 | $398.11 | $398.11 |
Where Kentucky sits
The same service costs 3.7 times more in Hawaii than in Tennessee. 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
$525
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.