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 $1,348.96 Median $2,041.74 Typical High $2,187.76 | Facility | None | $1,348.96 | $2,041.74 | $2,187.76 |
Aetna Setting Professional Modifier None Typical Low $1,348.96 Median $2,041.74 Typical High $3,890.45 | Professional | None | $1,348.96 | $2,041.74 | $3,890.45 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,454.71 Median $3,981.07 Typical High $4,168.69 | Facility | None | $2,454.71 | $3,981.07 | $4,168.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,819.70 Median $2,238.72 Typical High $2,630.27 | Professional | None | $1,819.70 | $2,238.72 | $2,630.27 |
CareSource Setting Facility Modifier None Typical Low $2,511.89 Median $3,467.37 Typical High $5,623.41 | Facility | None | $2,511.89 | $3,467.37 | $5,623.41 |
CareSource Setting Professional Modifier None Typical Low $3,890.45 Median $4,897.79 Typical High $6,165.95 | Professional | None | $3,890.45 | $4,897.79 | $6,165.95 |
Cigna Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $5,623.41 | Facility | None | $2,951.21 | $2,951.21 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $2,187.76 Median $2,951.21 Typical High $19,952.62 | Professional | None | $2,187.76 | $2,951.21 | $19,952.62 |
Molina Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,951.21 | Professional | None | $2,454.71 | $2,454.71 | $2,951.21 |
United Setting Facility Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,951.21 | Facility | None | $2,041.74 | $2,041.74 | $2,951.21 |
United Setting Professional Modifier None Typical Low $1,318.26 Median $1,949.84 Typical High $2,818.38 | Professional | None | $1,318.26 | $1,949.84 | $2,818.38 |
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 $831.76 Median $1,023.29 Typical High $1,949.84 | Professional | 52 · Reduced service | $831.76 | $1,023.29 | $1,949.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $331.13 Median $407.38 Typical High $776.25 | Professional | 53 · Discontinued | $331.13 | $407.38 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $245.47 Median $309.03 Typical High $588.84 | Professional | 55 · Aftercare only | $245.47 | $309.03 | $588.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $165.96 Median $204.17 Typical High $389.05 | Professional | 56 · Pre-op care only | $165.96 | $204.17 | $389.05 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | RR · Rental | $223.87 | $223.87 | $223.87 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | UE · Used equipment | $1,698.24 | $1,698.24 | $1,698.24 |
Where Kentucky sits
The same service costs 2.5 times more in Montana 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
$2,239
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.