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 $93.33 Median $134.90 Typical High $177.83 | Facility | None | $93.33 | $134.90 | $177.83 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $169.82 Typical High $234.42 | Professional | None | $93.33 | $169.82 | $234.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $165.96 Median $263.03 Typical High $275.42 | Facility | None | $165.96 | $263.03 | $275.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $120.23 Median $154.88 Typical High $169.82 | Professional | None | $120.23 | $154.88 | $169.82 |
CareSource Setting Facility Modifier None Typical Low $169.82 Median $234.42 Typical High $371.54 | Facility | None | $169.82 | $234.42 | $371.54 |
CareSource Setting Professional Modifier None Typical Low $257.04 Median $323.59 Typical High $416.87 | Professional | None | $257.04 | $323.59 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $389.05 | Facility | None | $162.18 | $162.18 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $162.18 Typical High $1,380.38 | Professional | None | $117.49 | $162.18 | $1,380.38 |
Molina Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $199.53 | Professional | None | $165.96 | $165.96 | $199.53 |
United Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $128.82 | Facility | None | $104.71 | $104.71 | $128.82 |
United Setting Professional Modifier None Typical Low $89.13 Median $128.82 Typical High $199.53 | Professional | None | $89.13 | $128.82 | $199.53 |
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 $54.95 Median $85.11 Typical High $117.49 | Professional | 52 · Reduced service | $54.95 | $85.11 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $33.88 Typical High $46.77 | Professional | 53 · Discontinued | $21.88 | $33.88 | $46.77 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $25.12 Typical High $35.48 | Professional | 55 · Aftercare only | $16.60 | $25.12 | $35.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $16.98 Typical High $23.44 | Professional | 56 · Pre-op care only | $10.96 | $16.98 | $23.44 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | RR · Rental | $15.49 | $15.49 | $15.49 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $117.49 Median $117.49 Typical High $125.89 | Professional | UE · Used equipment | $117.49 | $117.49 | $125.89 |
Where Kentucky sits
The same service costs 2.8 times more in Minnesota 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· 41st of 51
$155
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.