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 $6,309.57 Median $9,332.54 Typical High $10,000.00 | Facility | None | $6,309.57 | $9,332.54 | $10,000.00 |
Aetna Setting Professional Modifier None Typical Low $6,309.57 Median $9,549.93 Typical High $18,197.01 | Professional | None | $6,309.57 | $9,549.93 | $18,197.01 |
Anthem BCBS Setting Facility Modifier None Typical Low $11,481.54 Median $18,197.01 Typical High $19,498.45 | Facility | None | $11,481.54 | $18,197.01 | $19,498.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $8,511.38 Median $10,471.29 Typical High $12,302.69 | Professional | None | $8,511.38 | $10,471.29 | $12,302.69 |
CareSource Setting Facility Modifier None Typical Low $11,748.98 Median $16,218.10 Typical High $26,302.68 | Facility | None | $11,748.98 | $16,218.10 | $26,302.68 |
CareSource Setting Professional Modifier None Typical Low $18,197.01 Median $22,387.21 Typical High $28,840.32 | Professional | None | $18,197.01 | $22,387.21 | $28,840.32 |
Cigna Setting Facility Modifier None Typical Low $12,589.25 Median $12,589.25 Typical High $26,915.35 | Facility | None | $12,589.25 | $12,589.25 | $26,915.35 |
Cigna Setting Professional Modifier None Typical Low $9,120.11 Median $12,589.25 Typical High $95,499.26 | Professional | None | $9,120.11 | $12,589.25 | $95,499.26 |
Molina Setting Professional Modifier None Typical Low $11,481.54 Median $11,481.54 Typical High $13,803.84 | Professional | None | $11,481.54 | $11,481.54 | $13,803.84 |
United Setting Facility Modifier None Typical Low $7,943.28 Median $7,943.28 Typical High $9,332.54 | Facility | None | $7,943.28 | $7,943.28 | $9,332.54 |
United Setting Professional Modifier None Typical Low $6,165.95 Median $8,912.51 Typical High $13,489.63 | Professional | None | $6,165.95 | $8,912.51 | $13,489.63 |
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 $3,801.89 Median $4,786.30 Typical High $9,120.11 | Professional | 52 · Reduced service | $3,801.89 | $4,786.30 | $9,120.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,548.82 Median $1,905.46 Typical High $3,630.78 | Professional | 53 · Discontinued | $1,548.82 | $1,905.46 | $3,630.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1,148.15 Median $1,412.54 Typical High $2,691.53 | Professional | 55 · Aftercare only | $1,148.15 | $1,412.54 | $2,691.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $758.58 Median $954.99 Typical High $1,819.70 | Professional | 56 · Pre-op care only | $758.58 | $954.99 | $1,819.70 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | RR · Rental | $1,071.52 | $1,071.52 | $1,071.52 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $7,943.28 Median $7,943.28 Typical High $7,943.28 | Professional | UE · Used equipment | $7,943.28 | $7,943.28 | $7,943.28 |
Where Kentucky sits
The same service costs 2.5 times more in Montana than in Florida. 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
$10,471
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.