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 $1,445.44 Median $2,344.23 Typical High $2,344.23 | Facility | None | $1,445.44 | $2,344.23 | $2,344.23 |
Aetna Setting Professional Modifier None Typical Low $1,445.44 Median $2,344.23 Typical High $4,466.84 | Professional | None | $1,445.44 | $2,344.23 | $4,466.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,884.03 Median $4,570.88 Typical High $4,786.30 | Facility | None | $2,884.03 | $4,570.88 | $4,786.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,089.30 Median $2,398.83 Typical High $3,019.95 | Professional | None | $2,089.30 | $2,398.83 | $3,019.95 |
CareSource Setting Facility Modifier None Typical Low $2,951.21 Median $4,073.80 Typical High $6,606.93 | Facility | None | $2,951.21 | $4,073.80 | $6,606.93 |
CareSource Setting Professional Modifier None Typical Low $4,466.84 Median $5,623.41 Typical High $7,244.36 | Professional | None | $4,466.84 | $5,623.41 | $7,244.36 |
Cigna Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $6,309.57 | Facility | None | $2,511.89 | $2,511.89 | $6,309.57 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $2,511.89 Typical High $21,877.62 | Professional | None | $1,819.70 | $2,511.89 | $21,877.62 |
Molina Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $3,467.37 | Professional | None | $2,884.03 | $2,884.03 | $3,467.37 |
United Setting Facility Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Facility | None | $2,187.76 | $2,187.76 | $2,187.76 |
United Setting Professional Modifier None Typical Low $1,513.56 Median $2,238.72 Typical High $3,090.30 | Professional | None | $1,513.56 | $2,238.72 | $3,090.30 |
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 $954.99 Median $1,174.90 Typical High $2,187.76 | Professional | 52 · Reduced service | $954.99 | $1,174.90 | $2,187.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $380.19 Median $467.74 Typical High $891.25 | Professional | 53 · Discontinued | $380.19 | $467.74 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $288.40 Median $346.74 Typical High $660.69 | Professional | 55 · Aftercare only | $288.40 | $346.74 | $660.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $190.55 Median $234.42 Typical High $446.68 | Professional | 56 · Pre-op care only | $190.55 | $234.42 | $446.68 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | RR · Rental | $269.15 | $269.15 | $269.15 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | UE · Used equipment | $2,041.74 | $2,041.74 | $2,041.74 |
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· 41st of 51
$2,399
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.