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 $102.33 Median $144.54 Typical High $194.98 | Facility | None | $102.33 | $144.54 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $181.97 Typical High $275.42 | Professional | None | $102.33 | $181.97 | $275.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $177.83 Median $281.84 Typical High $295.12 | Facility | None | $177.83 | $281.84 | $295.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $128.82 Median $169.82 Typical High $186.21 | Professional | None | $128.82 | $169.82 | $186.21 |
CareSource Setting Facility Modifier None Typical Low $181.97 Median $251.19 Typical High $407.38 | Facility | None | $181.97 | $251.19 | $407.38 |
CareSource Setting Professional Modifier None Typical Low $275.42 Median $346.74 Typical High $446.68 | Professional | None | $275.42 | $346.74 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $446.68 | Facility | None | $177.83 | $177.83 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $177.83 Typical High $1,584.89 | Professional | None | $128.82 | $177.83 | $1,584.89 |
Molina Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $213.80 | Professional | None | $177.83 | $177.83 | $213.80 |
United Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $208.93 | Facility | None | $186.21 | $186.21 | $208.93 |
United Setting Professional Modifier None Typical Low $95.50 Median $138.04 Typical High $213.80 | Professional | None | $95.50 | $138.04 | $213.80 |
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 $58.88 Median $91.20 Typical High $138.04 | Professional | 52 · Reduced service | $58.88 | $91.20 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $36.31 Typical High $56.23 | Professional | 53 · Discontinued | $23.44 | $36.31 | $56.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.78 Median $26.92 Typical High $41.69 | Professional | 55 · Aftercare only | $17.78 | $26.92 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $18.20 Typical High $27.54 | Professional | 56 · Pre-op care only | $11.75 | $18.20 | $27.54 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | RR · Rental | $16.98 | $16.98 | $16.98 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $125.89 Median $125.89 Typical High $134.90 | Professional | UE · Used equipment | $125.89 | $125.89 | $134.90 |
Where Kentucky sits
The same service costs 3.5 times more in Hawaii 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· 36th of 51
$170
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.