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 $891.25 Median $1,288.25 Typical High $1,659.59 | Facility | None | $891.25 | $1,288.25 | $1,659.59 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $1,584.89 Typical High $2,454.71 | Professional | None | $891.25 | $1,584.89 | $2,454.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,548.82 Median $2,511.89 Typical High $2,630.27 | Facility | None | $1,548.82 | $2,511.89 | $2,630.27 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,148.15 Median $1,479.11 Typical High $1,621.81 | Professional | None | $1,148.15 | $1,479.11 | $1,621.81 |
CareSource Setting Facility Modifier None Typical Low $1,584.89 Median $2,187.76 Typical High $3,548.13 | Facility | None | $1,584.89 | $2,187.76 | $3,548.13 |
CareSource Setting Professional Modifier None Typical Low $2,454.71 Median $3,090.30 Typical High $3,890.45 | Professional | None | $2,454.71 | $3,090.30 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $3,801.89 | Facility | None | $1,778.28 | $1,778.28 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $1,778.28 Typical High $13,803.84 | Professional | None | $1,318.26 | $1,778.28 | $13,803.84 |
Molina Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,862.09 | Professional | None | $1,548.82 | $1,548.82 | $1,862.09 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,621.81 | Facility | None | $1,445.44 | $1,445.44 | $1,621.81 |
United Setting Professional Modifier None Typical Low $831.76 Median $1,230.27 Typical High $1,862.09 | Professional | None | $831.76 | $1,230.27 | $1,862.09 |
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 $524.81 Median $776.25 Typical High $1,230.27 | Professional | 52 · Reduced service | $524.81 | $776.25 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $316.23 Typical High $489.78 | Professional | 53 · Discontinued | $208.93 | $316.23 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $234.42 Typical High $371.54 | Professional | 55 · Aftercare only | $154.88 | $234.42 | $371.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $158.49 Typical High $245.47 | Professional | 56 · Pre-op care only | $104.71 | $158.49 | $245.47 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | RR · Rental | $147.91 | $147.91 | $147.91 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,122.02 Median $1,122.02 Typical High $1,202.26 | Professional | UE · Used equipment | $1,122.02 | $1,122.02 | $1,202.26 |
Where Kentucky sits
The same service costs 2.8 times more in Hawaii 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· 36th of 51
$1,479
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.