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 $123.03 Median $208.93 Typical High $213.80 | Facility | None | $123.03 | $208.93 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $208.93 Typical High $331.13 | Professional | None | $147.91 | $208.93 | $331.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $257.04 Median $407.38 Typical High $426.58 | Facility | None | $257.04 | $407.38 | $426.58 |
Anthem BCBS Setting Professional Modifier None Typical Low $186.21 Median $204.17 Typical High $269.15 | Professional | None | $186.21 | $204.17 | $269.15 |
CareSource Setting Facility Modifier None Typical Low $263.03 Median $363.08 Typical High $575.44 | Facility | None | $263.03 | $363.08 | $575.44 |
CareSource Setting Professional Modifier None Typical Low $398.11 Median $501.19 Typical High $645.65 | Professional | None | $398.11 | $501.19 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $549.54 | Facility | None | $245.47 | $245.47 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $245.47 Typical High $1,819.70 | Professional | None | $177.83 | $245.47 | $1,819.70 |
Molina Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $309.03 | Professional | None | $257.04 | $257.04 | $309.03 |
United Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $173.78 | Facility | None | $169.82 | $169.82 | $173.78 |
United Setting Professional Modifier None Typical Low $134.90 Median $199.53 Typical High $263.03 | Professional | None | $134.90 | $199.53 | $263.03 |
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 $74.13 Median $104.71 Typical High $165.96 | Professional | 52 · Reduced service | $74.13 | $104.71 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $41.69 Typical High $66.07 | Professional | 53 · Discontinued | $29.51 | $41.69 | $66.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $30.90 Typical High $50.12 | Professional | 55 · Aftercare only | $21.88 | $30.90 | $50.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $20.89 Typical High $33.11 | Professional | 56 · Pre-op care only | $14.79 | $20.89 | $33.11 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | RR · Rental | $20.42 | $20.42 | $20.42 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | UE · Used equipment | $154.88 | $154.88 | $154.88 |
Where Kentucky sits
The same service costs 2.3 times more in Wisconsin than in Colorado. 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· 37th of 51
$204
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.