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 $831.76 Median $1,174.90 Typical High $1,258.93 | Facility | None | $831.76 | $1,174.90 | $1,258.93 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $1,230.27 Typical High $2,290.87 | Professional | None | $977.24 | $1,230.27 | $2,290.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,445.44 Median $2,344.23 Typical High $2,454.71 | Facility | None | $1,445.44 | $2,344.23 | $2,454.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,071.52 Median $1,380.38 Typical High $1,548.82 | Professional | None | $1,071.52 | $1,380.38 | $1,548.82 |
CareSource Setting Facility Modifier None Typical Low $1,479.11 Median $2,041.74 Typical High $3,311.31 | Facility | None | $1,479.11 | $2,041.74 | $3,311.31 |
CareSource Setting Professional Modifier None Typical Low $2,290.87 Median $2,818.38 Typical High $3,630.78 | Professional | None | $2,290.87 | $2,818.38 | $3,630.78 |
Cigna Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $3,548.13 | Facility | None | $1,659.59 | $1,659.59 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $1,659.59 Typical High $12,882.50 | Professional | None | $1,202.26 | $1,659.59 | $12,882.50 |
Molina Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,737.80 | Professional | None | $1,445.44 | $1,445.44 | $1,737.80 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,513.56 | Facility | None | $1,202.26 | $1,202.26 | $1,513.56 |
United Setting Professional Modifier None Typical Low $776.25 Median $1,148.15 Typical High $1,737.80 | Professional | None | $776.25 | $1,148.15 | $1,737.80 |
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 $478.63 Median $616.60 Typical High $1,148.15 | Professional | 52 · Reduced service | $478.63 | $616.60 | $1,148.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $245.47 Typical High $457.09 | Professional | 53 · Discontinued | $194.98 | $245.47 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $181.97 Typical High $338.84 | Professional | 55 · Aftercare only | $144.54 | $181.97 | $338.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $123.03 Typical High $229.09 | Professional | 56 · Pre-op care only | $97.72 | $123.03 | $229.09 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | RR · Rental | $138.04 | $138.04 | $138.04 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | UE · Used equipment | $1,023.29 | $1,023.29 | $1,023.29 |
Where Kentucky sits
The same service costs 3.5 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· 34th of 51
$1,380
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.