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 $74.13 Median $107.15 Typical High $125.89 | Facility | None | $74.13 | $107.15 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $117.49 Typical High $204.17 | Professional | None | $74.13 | $117.49 | $204.17 |
Anthem BCBS Setting Facility Modifier None Typical Low $128.82 Median $208.93 Typical High $218.78 | Facility | None | $128.82 | $208.93 | $218.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $95.50 Median $123.03 Typical High $138.04 | Professional | None | $95.50 | $123.03 | $138.04 |
CareSource Setting Facility Modifier None Typical Low $131.83 Median $181.97 Typical High $295.12 | Facility | None | $131.83 | $181.97 | $295.12 |
CareSource Setting Professional Modifier None Typical Low $204.17 Median $257.04 Typical High $323.59 | Professional | None | $204.17 | $257.04 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $331.13 | Facility | None | $169.82 | $169.82 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $165.96 Typical High $1,202.26 | Professional | None | $123.03 | $165.96 | $1,202.26 |
Molina Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $154.88 | Professional | None | $128.82 | $128.82 | $154.88 |
United Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $134.90 | Facility | None | $107.15 | $107.15 | $134.90 |
United Setting Professional Modifier None Typical Low $69.18 Median $102.33 Typical High $158.49 | Professional | None | $69.18 | $102.33 | $158.49 |
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 $43.65 Median $58.88 Typical High $102.33 | Professional | 52 · Reduced service | $43.65 | $58.88 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $23.44 Typical High $40.74 | Professional | 53 · Discontinued | $17.38 | $23.44 | $40.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.88 Median $17.78 Typical High $30.90 | Professional | 55 · Aftercare only | $12.88 | $17.78 | $30.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $11.75 Typical High $20.42 | Professional | 56 · Pre-op care only | $8.71 | $11.75 | $20.42 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | RR · Rental | $12.30 | $12.30 | $12.30 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | UE · Used equipment | $93.33 | $93.33 | $93.33 |
Where Kentucky sits
The same service costs 2.7 times more in Hawaii than in Washington, DC. 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· 42nd of 51
$123
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.