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 $1,148.15 Median $1,659.59 Typical High $1,995.26 | Facility | None | $1,148.15 | $1,659.59 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $1,348.96 Median $1,862.09 Typical High $3,162.28 | Professional | None | $1,348.96 | $1,862.09 | $3,162.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,995.26 Median $3,235.94 Typical High $3,388.44 | Facility | None | $1,995.26 | $3,235.94 | $3,388.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,479.11 Median $1,905.46 Typical High $2,137.96 | Professional | None | $1,479.11 | $1,905.46 | $2,137.96 |
CareSource Setting Facility Modifier None Typical Low $2,089.30 Median $2,884.03 Typical High $4,570.88 | Facility | None | $2,089.30 | $2,884.03 | $4,570.88 |
CareSource Setting Professional Modifier None Typical Low $3,162.28 Median $3,981.07 Typical High $5,128.61 | Professional | None | $3,162.28 | $3,981.07 | $5,128.61 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $4,897.79 | Facility | None | $2,454.71 | $2,454.71 | $4,897.79 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $2,454.71 Typical High $17,782.79 | Professional | None | $1,819.70 | $2,454.71 | $17,782.79 |
Molina Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,454.71 | Professional | None | $2,041.74 | $2,041.74 | $2,454.71 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,949.84 | Facility | None | $1,698.24 | $1,698.24 | $1,949.84 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $1,584.89 Typical High $2,454.71 | Professional | None | $1,071.52 | $1,584.89 | $2,454.71 |
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 $676.08 Median $933.25 Typical High $1,584.89 | Professional | 52 · Reduced service | $676.08 | $933.25 | $1,584.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $269.15 Median $371.54 Typical High $630.96 | Professional | 53 · Discontinued | $269.15 | $371.54 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $281.84 Typical High $478.63 | Professional | 55 · Aftercare only | $204.17 | $281.84 | $478.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $134.90 Median $186.21 Typical High $316.23 | Professional | 56 · Pre-op care only | $134.90 | $186.21 | $316.23 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | RR · Rental | $194.98 | $194.98 | $194.98 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | UE · Used equipment | $1,445.44 | $1,445.44 | $1,445.44 |
Where Kentucky sits
The same service costs 2.4 times more in Hawaii 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
$1,905
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.