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 $1,659.59 Median $2,454.71 Typical High $2,818.38 | Facility | None | $1,659.59 | $2,454.71 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $1,995.26 Median $2,691.53 Typical High $4,677.35 | Professional | None | $1,995.26 | $2,691.53 | $4,677.35 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,951.21 Median $4,786.30 Typical High $5,011.87 | Facility | None | $2,951.21 | $4,786.30 | $5,011.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,187.76 Median $2,754.23 Typical High $3,162.28 | Professional | None | $2,187.76 | $2,754.23 | $3,162.28 |
CareSource Setting Facility Modifier None Typical Low $3,019.95 Median $4,168.69 Typical High $6,760.83 | Facility | None | $3,019.95 | $4,168.69 | $6,760.83 |
CareSource Setting Professional Modifier None Typical Low $4,677.35 Median $5,888.44 Typical High $7,413.10 | Professional | None | $4,677.35 | $5,888.44 | $7,413.10 |
Cigna Setting Facility Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $7,079.46 | Facility | None | $3,548.13 | $3,548.13 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $2,570.40 Median $3,548.13 Typical High $25,118.86 | Professional | None | $2,570.40 | $3,548.13 | $25,118.86 |
Molina Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $3,548.13 | Professional | None | $2,951.21 | $2,951.21 | $3,548.13 |
United Setting Facility Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,890.45 | Facility | None | $3,019.95 | $3,019.95 | $3,890.45 |
United Setting Professional Modifier None Typical Low $1,584.89 Median $2,344.23 Typical High $3,548.13 | Professional | None | $1,584.89 | $2,344.23 | $3,548.13 |
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 $1,000.00 Median $1,318.26 Typical High $2,344.23 | Professional | 52 · Reduced service | $1,000.00 | $1,318.26 | $2,344.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $398.11 Median $537.03 Typical High $933.25 | Professional | 53 · Discontinued | $398.11 | $537.03 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $295.12 Median $398.11 Typical High $707.95 | Professional | 55 · Aftercare only | $295.12 | $398.11 | $707.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $199.53 Median $269.15 Typical High $467.74 | Professional | 56 · Pre-op care only | $199.53 | $269.15 | $467.74 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | RR · Rental | $281.84 | $281.84 | $281.84 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Professional | UE · Used equipment | $2,089.30 | $2,089.30 | $2,089.30 |
Where Kentucky sits
The same service costs 3.0 times more in Hawaii than in Pennsylvania. 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· 40th of 51
$2,754
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.