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 $125.89 Median $181.97 Typical High $194.98 | Facility | None | $125.89 | $181.97 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $186.21 Typical High $346.74 | Professional | None | $147.91 | $186.21 | $346.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $223.87 Median $354.81 Typical High $371.54 | Facility | None | $223.87 | $354.81 | $371.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $162.18 Median $208.93 Typical High $239.88 | Professional | None | $162.18 | $208.93 | $239.88 |
CareSource Setting Facility Modifier None Typical Low $229.09 Median $316.23 Typical High $512.86 | Facility | None | $229.09 | $316.23 | $512.86 |
CareSource Setting Professional Modifier None Typical Low $346.74 Median $436.52 Typical High $562.34 | Professional | None | $346.74 | $436.52 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $549.54 | Facility | None | $245.47 | $245.47 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $245.47 Typical High $1,949.84 | Professional | None | $177.83 | $245.47 | $1,949.84 |
Molina Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $269.15 | Professional | None | $223.87 | $223.87 | $269.15 |
United Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $281.84 | Facility | None | $234.42 | $234.42 | $281.84 |
United Setting Professional Modifier None Typical Low $120.23 Median $173.78 Typical High $269.15 | Professional | None | $120.23 | $173.78 | $269.15 |
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 $74.13 Median $91.20 Typical High $173.78 | Professional | 52 · Reduced service | $74.13 | $91.20 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $37.15 Typical High $70.79 | Professional | 53 · Discontinued | $29.51 | $37.15 | $70.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $27.54 Typical High $52.48 | Professional | 55 · Aftercare only | $22.39 | $27.54 | $52.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $18.62 Typical High $34.67 | Professional | 56 · Pre-op care only | $14.79 | $18.62 | $34.67 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | RR · Rental | $21.88 | $21.88 | $21.88 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | UE · Used equipment | $162.18 | $162.18 | $162.18 |
Where Kentucky sits
The same service costs 3.6 times more in Hawaii than in Tennessee. 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
$209
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.