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 $1,202.26 Median $1,698.24 Typical High $2,041.74 | Facility | None | $1,202.26 | $1,698.24 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,949.84 Typical High $3,311.31 | Professional | None | $1,202.26 | $1,949.84 | $3,311.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,089.30 Median $3,311.31 Typical High $3,548.13 | Facility | None | $2,089.30 | $3,311.31 | $3,548.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,548.82 Median $1,949.84 Typical High $2,238.72 | Professional | None | $1,548.82 | $1,949.84 | $2,238.72 |
CareSource Setting Facility Modifier None Typical Low $2,137.96 Median $2,951.21 Typical High $4,786.30 | Facility | None | $2,137.96 | $2,951.21 | $4,786.30 |
CareSource Setting Professional Modifier None Typical Low $3,311.31 Median $4,073.80 Typical High $5,248.07 | Professional | None | $3,311.31 | $4,073.80 | $5,248.07 |
Cigna Setting Facility Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $5,128.61 | Facility | None | $2,691.53 | $2,691.53 | $5,128.61 |
Cigna Setting Professional Modifier None Typical Low $1,949.84 Median $2,691.53 Typical High $18,197.01 | Professional | None | $1,949.84 | $2,691.53 | $18,197.01 |
Molina Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,511.89 | Professional | None | $2,089.30 | $2,089.30 | $2,511.89 |
United Setting Facility Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $2,187.76 | Facility | None | $1,862.09 | $1,862.09 | $2,187.76 |
United Setting Professional Modifier None Typical Low $1,122.02 Median $1,621.81 Typical High $2,511.89 | Professional | None | $1,122.02 | $1,621.81 | $2,511.89 |
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 $691.83 Median $954.99 Typical High $1,621.81 | Professional | 52 · Reduced service | $691.83 | $954.99 | $1,621.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $389.05 Typical High $660.69 | Professional | 53 · Discontinued | $275.42 | $389.05 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $288.40 Typical High $489.78 | Professional | 55 · Aftercare only | $208.93 | $288.40 | $489.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $194.98 Typical High $331.13 | Professional | 56 · Pre-op care only | $138.04 | $194.98 | $331.13 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | RR · Rental | $199.53 | $199.53 | $199.53 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | UE · Used equipment | $1,513.56 | $1,513.56 | $1,513.56 |
Where Kentucky sits
The same service costs 2.9 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· 33rd of 51
$1,995
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.