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 $1,318.26 Typical High $1,548.82 | Facility | None | $891.25 | $1,318.26 | $1,548.82 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $1,445.44 Typical High $2,511.89 | Professional | None | $891.25 | $1,445.44 | $2,511.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,621.81 Median $2,570.40 Typical High $2,691.53 | Facility | None | $1,621.81 | $2,570.40 | $2,691.53 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,174.90 Median $1,479.11 Typical High $1,698.24 | Professional | None | $1,174.90 | $1,479.11 | $1,698.24 |
CareSource Setting Facility Modifier None Typical Low $1,659.59 Median $2,290.87 Typical High $3,630.78 | Facility | None | $1,659.59 | $2,290.87 | $3,630.78 |
CareSource Setting Professional Modifier None Typical Low $2,511.89 Median $3,162.28 Typical High $4,073.80 | Professional | None | $2,511.89 | $3,162.28 | $4,073.80 |
Cigna Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $3,715.35 | Facility | None | $1,513.56 | $1,513.56 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,513.56 Typical High $13,489.63 | Professional | None | $1,122.02 | $1,513.56 | $13,489.63 |
Molina Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,949.84 | Professional | None | $1,621.81 | $1,621.81 | $1,949.84 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,659.59 | Facility | None | $1,621.81 | $1,621.81 | $1,659.59 |
United Setting Professional Modifier None Typical Low $870.96 Median $1,258.93 Typical High $1,862.09 | Professional | None | $870.96 | $1,258.93 | $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 $537.03 Median $724.44 Typical High $1,258.93 | Professional | 52 · Reduced service | $537.03 | $724.44 | $1,258.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $288.40 Typical High $501.19 | Professional | 53 · Discontinued | $213.80 | $288.40 | $501.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $218.78 Typical High $380.19 | Professional | 55 · Aftercare only | $162.18 | $218.78 | $380.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $144.54 Typical High $251.19 | Professional | 56 · Pre-op care only | $107.15 | $144.54 | $251.19 |
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 $1,122.02 | Professional | UE · Used equipment | $1,122.02 | $1,122.02 | $1,122.02 |
Where Kentucky sits
The same service costs 3.2 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· 43rd 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.