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 $5,248.07 Median $7,413.10 Typical High $7,585.78 | Facility | None | $5,248.07 | $7,413.10 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $5,248.07 Median $7,413.10 Typical High $14,125.38 | Professional | None | $5,248.07 | $7,413.10 | $14,125.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $9,120.11 Median $14,791.08 Typical High $15,488.17 | Facility | None | $9,120.11 | $14,791.08 | $15,488.17 |
Anthem BCBS Setting Professional Modifier None Typical Low $6,760.83 Median $8,511.38 Typical High $9,772.37 | Professional | None | $6,760.83 | $8,511.38 | $9,772.37 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $6,456.54 Median $6,456.54 Typical High $6,456.54 | Professional | UE · Used equipment | $6,456.54 | $6,456.54 | $6,456.54 |
CareSource Setting Facility Modifier None Typical Low $9,332.54 Median $12,882.50 Typical High $20,892.96 | Facility | None | $9,332.54 | $12,882.50 | $20,892.96 |
CareSource Setting Professional Modifier None Typical Low $14,454.40 Median $17,782.79 Typical High $22,908.68 | Professional | None | $14,454.40 | $17,782.79 | $22,908.68 |
Cigna Setting Facility Modifier None Typical Low $9,332.54 Median $9,332.54 Typical High $20,892.96 | Facility | None | $9,332.54 | $9,332.54 | $20,892.96 |
Cigna Setting Professional Modifier None Typical Low $6,918.31 Median $9,332.54 Typical High $74,131.02 | Professional | None | $6,918.31 | $9,332.54 | $74,131.02 |
Molina Setting Professional Modifier None Typical Low $9,120.11 Median $9,120.11 Typical High $10,964.78 | Professional | None | $9,120.11 | $9,120.11 | $10,964.78 |
United Setting Facility Modifier None Typical Low $6,025.60 Median $6,025.60 Typical High $7,244.36 | Facility | None | $6,025.60 | $6,025.60 | $7,244.36 |
United Setting Professional Modifier None Typical Low $4,897.79 Median $7,079.46 Typical High $10,964.78 | Professional | None | $4,897.79 | $7,079.46 | $10,964.78 |
5 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 $3,019.95 Median $3,715.35 Typical High $7,079.46 | Professional | 52 · Reduced service | $3,019.95 | $3,715.35 | $7,079.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,230.27 Median $1,479.11 Typical High $2,818.38 | Professional | 53 · Discontinued | $1,230.27 | $1,479.11 | $2,818.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $912.01 Median $1,122.02 Typical High $2,137.96 | Professional | 55 · Aftercare only | $912.01 | $1,122.02 | $2,137.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $602.56 Median $741.31 Typical High $1,412.54 | Professional | 56 · Pre-op care only | $602.56 | $741.31 | $1,412.54 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | RR · Rental | $851.14 | $851.14 | $851.14 |
Where Kentucky sits
The same service costs 2.8 times more in Montana than in Delaware. 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· 36th of 51
$8,511
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.