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 $831.76 Median $1,202.26 Typical High $1,584.89 | Facility | None | $831.76 | $1,202.26 | $1,584.89 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $1,479.11 Typical High $2,290.87 | Professional | None | $831.76 | $1,479.11 | $2,290.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,479.11 Median $2,344.23 Typical High $2,454.71 | Facility | None | $1,479.11 | $2,344.23 | $2,454.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,071.52 Median $1,380.38 Typical High $1,548.82 | Professional | None | $1,071.52 | $1,380.38 | $1,548.82 |
CareSource Setting Facility Modifier None Typical Low $1,513.56 Median $2,089.30 Typical High $3,311.31 | Facility | None | $1,513.56 | $2,089.30 | $3,311.31 |
CareSource Setting Professional Modifier None Typical Low $2,290.87 Median $2,884.03 Typical High $3,715.35 | Professional | None | $2,290.87 | $2,884.03 | $3,715.35 |
Cigna Setting Facility Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $3,548.13 | Facility | None | $1,949.84 | $1,949.84 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $1,445.44 Median $1,905.46 Typical High $12,882.50 | Professional | None | $1,445.44 | $1,905.46 | $12,882.50 |
Molina Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,778.28 | Professional | None | $1,479.11 | $1,479.11 | $1,778.28 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,258.93 | Facility | None | $1,096.48 | $1,096.48 | $1,258.93 |
United Setting Professional Modifier None Typical Low $794.33 Median $1,148.15 Typical High $1,778.28 | Professional | None | $794.33 | $1,148.15 | $1,778.28 |
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 $489.78 Median $741.31 Typical High $1,148.15 | Professional | 52 · Reduced service | $489.78 | $741.31 | $1,148.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $295.12 Typical High $457.09 | Professional | 53 · Discontinued | $194.98 | $295.12 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $223.87 Typical High $346.74 | Professional | 55 · Aftercare only | $147.91 | $223.87 | $346.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $147.91 Typical High $229.09 | Professional | 56 · Pre-op care only | $97.72 | $147.91 | $229.09 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | RR · Rental | $138.04 | $138.04 | $138.04 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,047.13 Median $1,047.13 Typical High $1,122.02 | Professional | UE · Used equipment | $1,047.13 | $1,047.13 | $1,122.02 |
Where Kentucky sits
The same service costs 2.4 times more in Minnesota than in Washington, DC. 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· 48th of 51
$1,380
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.