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 $151.36 Median $213.80 Typical High $218.78 | Facility | None | $151.36 | $213.80 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $218.78 Typical High $416.87 | Professional | None | $151.36 | $218.78 | $416.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $263.03 Median $426.58 Typical High $446.68 | Facility | None | $263.03 | $426.58 | $446.68 |
Anthem BCBS Setting Professional Modifier None Typical Low $194.98 Median $251.19 Typical High $281.84 | Professional | None | $194.98 | $251.19 | $281.84 |
CareSource Setting Facility Modifier None Typical Low $269.15 Median $371.54 Typical High $602.56 | Facility | None | $269.15 | $371.54 | $602.56 |
CareSource Setting Professional Modifier None Typical Low $416.87 Median $524.81 Typical High $660.69 | Professional | None | $416.87 | $524.81 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $660.69 | Facility | None | $275.42 | $275.42 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $275.42 Typical High $2,344.23 | Professional | None | $199.53 | $275.42 | $2,344.23 |
Molina Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $316.23 | Professional | None | $263.03 | $263.03 | $316.23 |
United Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $275.42 | Facility | None | $218.78 | $218.78 | $275.42 |
United Setting Professional Modifier None Typical Low $141.25 Median $208.93 Typical High $316.23 | Professional | None | $141.25 | $208.93 | $316.23 |
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 $89.13 Median $109.65 Typical High $208.93 | Professional | 52 · Reduced service | $89.13 | $109.65 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $43.65 Typical High $83.18 | Professional | 53 · Discontinued | $35.48 | $43.65 | $83.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $33.11 Typical High $61.66 | Professional | 55 · Aftercare only | $26.30 | $33.11 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $21.88 Typical High $41.69 | Professional | 56 · Pre-op care only | $17.78 | $21.88 | $41.69 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | RR · Rental | $25.12 | $25.12 | $25.12 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | UE · Used equipment | $186.21 | $186.21 | $186.21 |
Where Kentucky sits
The same service costs 2.9 times more in Hawaii than in Florida. 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· 43rd of 51
$251
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.