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 $501.19 Median $758.58 Typical High $891.25 | Facility | None | $501.19 | $758.58 | $891.25 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $831.76 Typical High $1,479.11 | Professional | None | $501.19 | $831.76 | $1,479.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $933.25 Median $1,479.11 Typical High $1,584.89 | Facility | None | $933.25 | $1,479.11 | $1,584.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $691.83 Median $851.14 Typical High $1,000.00 | Professional | None | $691.83 | $851.14 | $1,000.00 |
CareSource Setting Facility Modifier None Typical Low $954.99 Median $1,318.26 Typical High $2,137.96 | Facility | None | $954.99 | $1,318.26 | $2,137.96 |
CareSource Setting Professional Modifier None Typical Low $1,479.11 Median $1,819.70 Typical High $2,344.23 | Professional | None | $1,479.11 | $1,819.70 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $2,137.96 | Facility | None | $1,096.48 | $1,096.48 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $1,096.48 Typical High $7,585.78 | Professional | None | $812.83 | $1,096.48 | $7,585.78 |
Molina Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $1,122.02 | Professional | None | $933.25 | $933.25 | $1,122.02 |
United Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $776.25 | Facility | None | $660.69 | $660.69 | $776.25 |
United Setting Professional Modifier None Typical Low $501.19 Median $724.44 Typical High $1,071.52 | Professional | None | $501.19 | $724.44 | $1,071.52 |
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 $309.03 Median $416.87 Typical High $741.31 | Professional | 52 · Reduced service | $309.03 | $416.87 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $165.96 Typical High $295.12 | Professional | 53 · Discontinued | $123.03 | $165.96 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $125.89 Typical High $218.78 | Professional | 55 · Aftercare only | $93.33 | $125.89 | $218.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $83.18 Typical High $147.91 | Professional | 56 · Pre-op care only | $61.66 | $83.18 | $147.91 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | RR · Rental | $85.11 | $85.11 | $85.11 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $630.96 Median $630.96 Typical High $645.65 | Professional | UE · Used equipment | $630.96 | $630.96 | $645.65 |
Where Kentucky sits
The same service costs 2.2 times more in Hawaii than in Florida. 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
$851
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.