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 $5,754.40 | Facility | None | $3,388.44 | $5,623.41 | $5,754.40 |
Aetna Setting Professional Modifier None Typical Low $3,388.44 Median $5,623.41 Typical High $9,772.37 | Professional | None | $3,388.44 | $5,623.41 | $9,772.37 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,918.31 Median $11,220.18 Typical High $11,748.98 | Facility | None | $6,918.31 | $11,220.18 | $11,748.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $5,128.61 Median $5,623.41 Typical High $7,244.36 | Professional | None | $5,128.61 | $5,623.41 | $7,244.36 |
CareSource Setting Facility Modifier None Typical Low $7,079.46 Median $9,772.37 Typical High $15,848.93 | Facility | None | $7,079.46 | $9,772.37 | $15,848.93 |
CareSource Setting Professional Modifier None Typical Low $10,964.78 Median $13,803.84 Typical High $17,378.01 | Professional | None | $10,964.78 | $13,803.84 | $17,378.01 |
Cigna Setting Facility Modifier None Typical Low $7,585.78 Median $7,585.78 Typical High $15,135.61 | Facility | None | $7,585.78 | $7,585.78 | $15,135.61 |
Cigna Setting Professional Modifier None Typical Low $5,495.41 Median $7,585.78 Typical High $51,286.14 | Professional | None | $5,495.41 | $7,585.78 | $51,286.14 |
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 $4,265.80 Median $4,265.80 Typical High $4,786.30 | Facility | None | $4,265.80 | $4,265.80 | $4,786.30 |
United Setting Professional Modifier None Typical Low $3,630.78 Median $5,495.41 Typical High $7,244.36 | Professional | None | $3,630.78 | $5,495.41 | $7,244.36 |
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 $4,897.79 | Professional | 52 · Reduced service | $2,290.87 | $2,818.38 | $4,897.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $912.01 Median $1,122.02 Typical High $1,949.84 | Professional | 53 · Discontinued | $912.01 | $1,122.02 | $1,949.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $676.08 Median $831.76 Typical High $1,445.44 | Professional | 55 · Aftercare only | $676.08 | $831.76 | $1,445.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $457.09 Median $562.34 Typical High $977.24 | Professional | 56 · Pre-op care only | $457.09 | $562.34 | $977.24 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | RR · Rental | $660.69 | $660.69 | $660.69 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $4,897.79 Median $4,897.79 Typical High $4,897.79 | Professional | UE · Used equipment | $4,897.79 | $4,897.79 | $4,897.79 |
Where Kentucky sits
The same service costs 2.1 times more in Montana than in Pennsylvania. 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
$5,623
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.