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 $1,318.26 Median $2,089.30 Typical High $2,137.96 | Facility | None | $1,318.26 | $2,089.30 | $2,137.96 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $2,089.30 Typical High $3,981.07 | Professional | None | $1,318.26 | $2,089.30 | $3,981.07 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,570.40 Median $4,168.69 Typical High $4,365.16 | Facility | None | $2,570.40 | $4,168.69 | $4,365.16 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,905.46 Median $2,187.76 Typical High $2,754.23 | Professional | None | $1,905.46 | $2,187.76 | $2,754.23 |
CareSource Setting Facility Modifier None Typical Low $2,630.27 Median $3,715.35 Typical High $5,888.44 | Facility | None | $2,630.27 | $3,715.35 | $5,888.44 |
CareSource Setting Professional Modifier None Typical Low $4,073.80 Median $5,128.61 Typical High $6,606.93 | Professional | None | $4,073.80 | $5,128.61 | $6,606.93 |
Cigna Setting Facility Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $5,623.41 | Facility | None | $2,290.87 | $2,290.87 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $1,659.59 Median $2,290.87 Typical High $19,952.62 | Professional | None | $1,659.59 | $2,290.87 | $19,952.62 |
Molina Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $3,090.30 | Professional | None | $2,630.27 | $2,630.27 | $3,090.30 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,995.26 | $1,995.26 | $1,995.26 |
United Setting Professional Modifier None Typical Low $1,348.96 Median $2,041.74 Typical High $2,818.38 | Professional | None | $1,348.96 | $2,041.74 | $2,818.38 |
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 $870.96 Median $1,047.13 Typical High $1,995.26 | Professional | 52 · Reduced service | $870.96 | $1,047.13 | $1,995.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $346.74 Median $426.58 Typical High $794.33 | Professional | 53 · Discontinued | $346.74 | $426.58 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $263.03 Median $316.23 Typical High $602.56 | Professional | 55 · Aftercare only | $263.03 | $316.23 | $602.56 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $173.78 Median $208.93 Typical High $398.11 | Professional | 56 · Pre-op care only | $173.78 | $208.93 | $398.11 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | RR · Rental | $218.78 | $218.78 | $218.78 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | UE · Used equipment | $1,659.59 | $1,659.59 | $1,659.59 |
Where Kentucky sits
The same service costs 2.5 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· 39th of 51
$2,188
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.