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 $676.08 Median $954.99 Typical High $1,047.13 | Facility | None | $676.08 | $954.99 | $1,047.13 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $977.24 Typical High $1,819.70 | Professional | None | $676.08 | $977.24 | $1,819.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,174.90 Median $1,862.09 Typical High $1,995.26 | Facility | None | $1,174.90 | $1,862.09 | $1,995.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $851.14 Median $1,096.48 Typical High $1,230.27 | Professional | None | $851.14 | $1,096.48 | $1,230.27 |
CareSource Setting Facility Modifier None Typical Low $1,202.26 Median $1,659.59 Typical High $2,691.53 | Facility | None | $1,202.26 | $1,659.59 | $2,691.53 |
CareSource Setting Professional Modifier None Typical Low $1,819.70 Median $2,290.87 Typical High $2,951.21 | Professional | None | $1,819.70 | $2,290.87 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $2,884.03 | Facility | None | $1,412.54 | $1,412.54 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,412.54 Typical High $10,471.29 | Professional | None | $1,023.29 | $1,412.54 | $10,471.29 |
Molina Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,412.54 | Professional | None | $1,174.90 | $1,174.90 | $1,412.54 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,318.26 | Facility | None | $1,230.27 | $1,230.27 | $1,318.26 |
United Setting Professional Modifier None Typical Low $630.96 Median $912.01 Typical High $1,412.54 | Professional | None | $630.96 | $912.01 | $1,412.54 |
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 $389.05 Median $489.78 Typical High $912.01 | Professional | 52 · Reduced service | $389.05 | $489.78 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $194.98 Typical High $371.54 | Professional | 53 · Discontinued | $154.88 | $194.98 | $371.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $147.91 Typical High $275.42 | Professional | 55 · Aftercare only | $117.49 | $147.91 | $275.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $97.72 Typical High $181.97 | Professional | 56 · Pre-op care only | $77.62 | $97.72 | $181.97 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | RR · Rental | $112.20 | $112.20 | $112.20 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | UE · Used equipment | $851.14 | $851.14 | $851.14 |
Where Kentucky sits
The same service costs 3.6 times more in Hawaii than in Washington, DC. 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· 40th of 51
$1,096
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.