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 $3,388.44 Median $5,623.41 Typical High $5,623.41 | Facility | None | $3,388.44 | $5,623.41 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $3,388.44 Median $5,623.41 Typical High $10,232.93 | Professional | None | $3,388.44 | $5,623.41 | $10,232.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,918.31 Median $10,964.78 Typical High $11,481.54 | Facility | None | $6,918.31 | $10,964.78 | $11,481.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $5,011.87 Median $5,495.41 Typical High $7,244.36 | Professional | None | $5,011.87 | $5,495.41 | $7,244.36 |
CareSource Setting Facility Modifier None Typical Low $7,079.46 Median $9,772.37 Typical High $15,488.17 | Facility | None | $7,079.46 | $9,772.37 | $15,488.17 |
CareSource Setting Professional Modifier None Typical Low $10,715.19 Median $13,489.63 Typical High $17,378.01 | Professional | None | $10,715.19 | $13,489.63 | $17,378.01 |
Cigna Setting Facility Modifier None Typical Low $7,244.36 Median $7,244.36 Typical High $14,791.08 | Facility | None | $7,244.36 | $7,244.36 | $14,791.08 |
Cigna Setting Professional Modifier None Typical Low $5,248.07 Median $7,244.36 Typical High $50,118.72 | Professional | None | $5,248.07 | $7,244.36 | $50,118.72 |
Molina Setting Professional Modifier None Typical Low $6,918.31 Median $6,918.31 Typical High $8,317.64 | Professional | None | $6,918.31 | $6,918.31 | $8,317.64 |
United Setting Facility Modifier None Typical Low $4,365.16 Median $4,365.16 Typical High $5,128.61 | Facility | None | $4,365.16 | $4,365.16 | $5,128.61 |
United Setting Professional Modifier None Typical Low $3,630.78 Median $5,370.32 Typical High $7,079.46 | Professional | None | $3,630.78 | $5,370.32 | $7,079.46 |
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 $2,290.87 Median $2,818.38 Typical High $5,128.61 | Professional | 52 · Reduced service | $2,290.87 | $2,818.38 | $5,128.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $912.01 Median $1,122.02 Typical High $2,041.74 | Professional | 53 · Discontinued | $912.01 | $1,122.02 | $2,041.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $691.83 Median $831.76 Typical High $1,548.82 | Professional | 55 · Aftercare only | $691.83 | $831.76 | $1,548.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $457.09 Median $562.34 Typical High $1,023.29 | Professional | 56 · Pre-op care only | $457.09 | $562.34 | $1,023.29 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | RR · Rental | $562.34 | $562.34 | $562.34 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Professional | UE · Used equipment | $4,265.80 | $4,265.80 | $4,265.80 |
Where Kentucky sits
The same service costs 2.1 times more in Hawaii 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· 43rd of 51
$5,495
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.