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 $1,621.81 Median $2,290.87 Typical High $2,398.83 | Facility | None | $1,621.81 | $2,290.87 | $2,398.83 |
Aetna Setting Professional Modifier None Typical Low $1,621.81 Median $2,290.87 Typical High $4,466.84 | Professional | None | $1,621.81 | $2,290.87 | $4,466.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,818.38 Median $4,570.88 Typical High $4,786.30 | Facility | None | $2,818.38 | $4,570.88 | $4,786.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,089.30 Median $2,691.53 Typical High $2,951.21 | Professional | None | $2,089.30 | $2,691.53 | $2,951.21 |
CareSource Setting Facility Modifier None Typical Low $2,884.03 Median $3,981.07 Typical High $6,456.54 | Facility | None | $2,884.03 | $3,981.07 | $6,456.54 |
CareSource Setting Professional Modifier None Typical Low $4,466.84 Median $5,623.41 Typical High $7,079.46 | Professional | None | $4,466.84 | $5,623.41 | $7,079.46 |
Cigna Setting Facility Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $6,918.31 | Facility | None | $2,754.23 | $2,754.23 | $6,918.31 |
Cigna Setting Professional Modifier None Typical Low $2,041.74 Median $2,754.23 Typical High $24,547.09 | Professional | None | $2,041.74 | $2,754.23 | $24,547.09 |
Molina Setting Professional Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $3,388.44 | Professional | None | $2,818.38 | $2,818.38 | $3,388.44 |
United Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,511.89 | Facility | None | $2,454.71 | $2,454.71 | $2,511.89 |
United Setting Professional Modifier None Typical Low $1,513.56 Median $2,238.72 Typical High $3,388.44 | Professional | None | $1,513.56 | $2,238.72 | $3,388.44 |
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 $954.99 Median $1,148.15 Typical High $2,238.72 | Professional | 52 · Reduced service | $954.99 | $1,148.15 | $2,238.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $380.19 Median $467.74 Typical High $891.25 | Professional | 53 · Discontinued | $380.19 | $467.74 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $281.84 Median $346.74 Typical High $660.69 | Professional | 55 · Aftercare only | $281.84 | $346.74 | $660.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $190.55 Median $229.09 Typical High $446.68 | Professional | 56 · Pre-op care only | $190.55 | $229.09 | $446.68 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | RR · Rental | $269.15 | $269.15 | $269.15 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | UE · Used equipment | $2,041.74 | $2,041.74 | $2,041.74 |
Where Kentucky sits
The same service costs 2.8 times more in Wyoming 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· 35th of 51
$2,692
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.