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 $1,258.93 Median $1,862.09 Typical High $2,137.96 | Facility | None | $1,258.93 | $1,862.09 | $2,137.96 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,995.26 Typical High $3,630.78 | Professional | None | $1,258.93 | $1,995.26 | $3,630.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,290.87 Median $3,630.78 Typical High $3,890.45 | Facility | None | $2,290.87 | $3,630.78 | $3,890.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,698.24 Median $2,089.30 Typical High $2,454.71 | Professional | None | $1,698.24 | $2,089.30 | $2,454.71 |
CareSource Setting Facility Modifier None Typical Low $2,344.23 Median $3,235.94 Typical High $5,248.07 | Facility | None | $2,344.23 | $3,235.94 | $5,248.07 |
CareSource Setting Professional Modifier None Typical Low $3,630.78 Median $4,466.84 Typical High $5,754.40 | Professional | None | $3,630.78 | $4,466.84 | $5,754.40 |
Cigna Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $5,248.07 | Facility | None | $2,137.96 | $2,137.96 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $1,584.89 Median $2,137.96 Typical High $19,054.61 | Professional | None | $1,584.89 | $2,137.96 | $19,054.61 |
Molina Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,754.23 | Professional | None | $2,290.87 | $2,290.87 | $2,754.23 |
United Setting Facility Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Facility | None | $1,949.84 | $1,949.84 | $1,949.84 |
United Setting Professional Modifier None Typical Low $1,230.27 Median $1,778.28 Typical High $2,630.27 | Professional | None | $1,230.27 | $1,778.28 | $2,630.27 |
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 $758.58 Median $1,000.00 Typical High $1,778.28 | Professional | 52 · Reduced service | $758.58 | $1,000.00 | $1,778.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $309.03 Median $398.11 Typical High $724.44 | Professional | 53 · Discontinued | $309.03 | $398.11 | $724.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $229.09 Median $302.00 Typical High $537.03 | Professional | 55 · Aftercare only | $229.09 | $302.00 | $537.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $151.36 Median $199.53 Typical High $363.08 | Professional | 56 · Pre-op care only | $151.36 | $199.53 | $363.08 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | RR · Rental | $213.80 | $213.80 | $213.80 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | UE · Used equipment | $1,621.81 | $1,621.81 | $1,621.81 |
Where Kentucky sits
The same service costs 2.6 times more in Wisconsin 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· 42nd of 51
$2,089
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.