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 $275.42 Median $478.63 Typical High $512.86 | Facility | None | $275.42 | $478.63 | $512.86 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $478.63 Typical High $891.25 | Professional | None | $354.81 | $478.63 | $891.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $588.84 Median $933.25 Typical High $977.24 | Facility | None | $588.84 | $933.25 | $977.24 |
Anthem BCBS Setting Professional Modifier None Typical Low $426.58 Median $457.09 Typical High $616.60 | Professional | None | $426.58 | $457.09 | $616.60 |
CareSource Setting Facility Modifier None Typical Low $602.56 Median $831.76 Typical High $1,318.26 | Facility | None | $602.56 | $831.76 | $1,318.26 |
CareSource Setting Professional Modifier None Typical Low $912.01 Median $1,148.15 Typical High $1,479.11 | Professional | None | $912.01 | $1,148.15 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $1,288.25 | Facility | None | $645.65 | $645.65 | $1,288.25 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $645.65 Typical High $4,265.80 | Professional | None | $467.74 | $645.65 | $4,265.80 |
Molina Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $707.95 | Professional | None | $588.84 | $588.84 | $707.95 |
United Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | None | $489.78 | $489.78 | $489.78 |
United Setting Professional Modifier None Typical Low $309.03 Median $457.09 Typical High $602.56 | Professional | None | $309.03 | $457.09 | $602.56 |
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 $177.83 Median $239.88 Typical High $446.68 | Professional | 52 · Reduced service | $177.83 | $239.88 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $95.50 Typical High $181.97 | Professional | 53 · Discontinued | $70.79 | $95.50 | $181.97 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $72.44 Typical High $134.90 | Professional | 55 · Aftercare only | $52.48 | $72.44 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $47.86 Typical High $89.13 | Professional | 56 · Pre-op care only | $35.48 | $47.86 | $89.13 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | RR · Rental | $45.71 | $45.71 | $45.71 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $346.74 Median $346.74 Typical High $371.54 | Professional | UE · Used equipment | $346.74 | $346.74 | $371.54 |
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· 46th of 51
$457
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.