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 $416.87 Median $602.56 Typical High $724.44 | Facility | None | $416.87 | $602.56 | $724.44 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $676.08 Typical High $1,122.02 | Professional | None | $416.87 | $676.08 | $1,122.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $741.31 Median $1,174.90 Typical High $1,230.27 | Facility | None | $741.31 | $1,174.90 | $1,230.27 |
Anthem BCBS Setting Professional Modifier None Typical Low $537.03 Median $691.83 Typical High $776.25 | Professional | None | $537.03 | $691.83 | $776.25 |
CareSource Setting Facility Modifier None Typical Low $758.58 Median $1,047.13 Typical High $1,659.59 | Facility | None | $758.58 | $1,047.13 | $1,659.59 |
CareSource Setting Professional Modifier None Typical Low $1,148.15 Median $1,445.44 Typical High $1,862.09 | Professional | None | $1,148.15 | $1,445.44 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $1,778.28 | Facility | None | $933.25 | $933.25 | $1,778.28 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $933.25 Typical High $6,456.54 | Professional | None | $676.08 | $933.25 | $6,456.54 |
Molina Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $891.25 | Professional | None | $741.31 | $741.31 | $891.25 |
United Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $575.44 | Facility | None | $478.63 | $478.63 | $575.44 |
United Setting Professional Modifier None Typical Low $398.11 Median $575.44 Typical High $891.25 | Professional | None | $398.11 | $575.44 | $891.25 |
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 $245.47 Median $338.84 Typical High $562.34 | Professional | 52 · Reduced service | $245.47 | $338.84 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $134.90 Typical High $223.87 | Professional | 53 · Discontinued | $97.72 | $134.90 | $223.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $102.33 Typical High $165.96 | Professional | 55 · Aftercare only | $74.13 | $102.33 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $48.98 Median $67.61 Typical High $112.20 | Professional | 56 · Pre-op care only | $48.98 | $67.61 | $112.20 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | RR · Rental | $69.18 | $69.18 | $69.18 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | UE · Used equipment | $524.81 | $524.81 | $524.81 |
Where Kentucky sits
The same service costs 2.1 times more in Wisconsin 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
$692
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.