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 $181.97 Median $288.40 Typical High $295.12 | Facility | None | $181.97 | $288.40 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $288.40 Typical High $549.54 | Professional | None | $181.97 | $288.40 | $549.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $354.81 Median $575.44 Typical High $602.56 | Facility | None | $354.81 | $575.44 | $602.56 |
Anthem BCBS Setting Professional Modifier None Typical Low $263.03 Median $302.00 Typical High $380.19 | Professional | None | $263.03 | $302.00 | $380.19 |
CareSource Setting Facility Modifier None Typical Low $363.08 Median $501.19 Typical High $812.83 | Facility | None | $363.08 | $501.19 | $812.83 |
CareSource Setting Professional Modifier None Typical Low $562.34 Median $707.95 Typical High $891.25 | Professional | None | $562.34 | $707.95 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $776.25 | Facility | None | $363.08 | $363.08 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $363.08 Typical High $2,754.23 | Professional | None | $263.03 | $363.08 | $2,754.23 |
Molina Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $426.58 | Professional | None | $354.81 | $354.81 | $426.58 |
United Setting Professional Modifier None Typical Low $186.21 Median $281.84 Typical High $380.19 | Professional | None | $186.21 | $281.84 | $380.19 |
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 $120.23 Median $144.54 Typical High $275.42 | Professional | 52 · Reduced service | $120.23 | $144.54 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $57.54 Typical High $109.65 | Professional | 53 · Discontinued | $47.86 | $57.54 | $109.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $43.65 Typical High $81.28 | Professional | 55 · Aftercare only | $35.48 | $43.65 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $28.84 Typical High $54.95 | Professional | 56 · Pre-op care only | $23.99 | $28.84 | $54.95 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | RR · Rental | $30.90 | $30.90 | $30.90 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | UE · Used equipment | $229.09 | $229.09 | $229.09 |
Where Kentucky sits
The same service costs 2.2 times more in Montana 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
$302
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.