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 $257.04 Median $363.08 Typical High $398.11 | Facility | None | $257.04 | $363.08 | $398.11 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $363.08 Typical High $758.58 | Professional | None | $257.04 | $363.08 | $758.58 |
Anthem BCBS Setting Facility Modifier None Typical Low $478.63 Median $776.25 Typical High $812.83 | Facility | None | $478.63 | $776.25 | $812.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $346.74 Median $426.58 Typical High $512.86 | Professional | None | $346.74 | $426.58 | $512.86 |
CareSource Setting Facility Modifier None Typical Low $489.78 Median $691.83 Typical High $1,096.48 | Facility | None | $489.78 | $691.83 | $1,096.48 |
CareSource Setting Professional Modifier None Typical Low $758.58 Median $954.99 Typical High $1,230.27 | Professional | None | $758.58 | $954.99 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $1,096.48 | Facility | None | $446.68 | $446.68 | $1,096.48 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $446.68 Typical High $3,890.45 | Professional | None | $331.13 | $446.68 | $3,890.45 |
Molina Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $588.84 | Professional | None | $489.78 | $489.78 | $588.84 |
United Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
United Setting Professional Modifier None Typical Low $251.19 Median $380.19 Typical High $537.03 | Professional | None | $251.19 | $380.19 | $537.03 |
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 $154.88 Median $181.97 Typical High $380.19 | Professional | 52 · Reduced service | $154.88 | $181.97 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $74.13 Typical High $151.36 | Professional | 53 · Discontinued | $61.66 | $74.13 | $151.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $54.95 Typical High $114.82 | Professional | 55 · Aftercare only | $46.77 | $54.95 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $36.31 Typical High $75.86 | Professional | 56 · Pre-op care only | $30.90 | $36.31 | $75.86 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | RR · Rental | $45.71 | $45.71 | $45.71 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | UE · Used equipment | $338.84 | $338.84 | $338.84 |
Where Kentucky sits
The same service costs 2.8 times more in Iowa 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· 41st of 51
$427
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.