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 $1,230.27 Median $1,949.84 Typical High $1,949.84 | Facility | None | $1,230.27 | $1,949.84 | $1,949.84 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,949.84 Typical High $3,715.35 | Professional | None | $1,230.27 | $1,949.84 | $3,715.35 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,398.83 Median $3,890.45 Typical High $4,073.80 | Facility | None | $2,398.83 | $3,890.45 | $4,073.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,778.28 Median $2,041.74 Typical High $2,570.40 | Professional | None | $1,778.28 | $2,041.74 | $2,570.40 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | RR · Rental | $204.17 | $204.17 | $204.17 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | UE · Used equipment | $1,548.82 | $1,548.82 | $1,548.82 |
CareSource Setting Facility Modifier None Typical Low $2,454.71 Median $3,388.44 Typical High $5,495.41 | Facility | None | $2,454.71 | $3,388.44 | $5,495.41 |
CareSource Setting Professional Modifier None Typical Low $3,801.89 Median $4,786.30 Typical High $6,025.60 | Professional | None | $3,801.89 | $4,786.30 | $6,025.60 |
Cigna Setting Facility Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $5,248.07 | Facility | None | $2,691.53 | $2,691.53 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $1,949.84 Median $2,691.53 Typical High $18,620.87 | Professional | None | $1,949.84 | $2,691.53 | $18,620.87 |
Molina Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,884.03 | Professional | None | $2,398.83 | $2,398.83 | $2,884.03 |
United Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
United Setting Professional Modifier None Typical Low $1,258.93 Median $1,905.46 Typical High $2,630.27 | Professional | None | $1,258.93 | $1,905.46 | $2,630.27 |
2 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 55 · Aftercare only Typical Low $239.88 Median $295.12 Typical High $562.34 | Professional | 55 · Aftercare only | $239.88 | $295.12 | $562.34 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $162.18 Median $194.98 Typical High $371.54 | Professional | 56 · Pre-op care only | $162.18 | $194.98 | $371.54 |
Where Kentucky sits
The same service costs 2.1 times more in Hawaii than in New Jersey. 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· 36th of 51
$2,042
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.