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 $1,230.27 Median $1,778.28 Typical High $1,905.46 | Facility | None | $1,230.27 | $1,778.28 | $1,905.46 |
Aetna Setting Professional Modifier None Typical Low $1,445.44 Median $1,778.28 Typical High $3,388.44 | Professional | None | $1,445.44 | $1,778.28 | $3,388.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $3,467.37 Typical High $3,630.78 | Facility | None | $2,137.96 | $3,467.37 | $3,630.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,584.89 Median $2,041.74 Typical High $2,290.87 | Professional | None | $1,584.89 | $2,041.74 | $2,290.87 |
CareSource Setting Facility Modifier None Typical Low $2,187.76 Median $3,019.95 Typical High $4,897.79 | Facility | None | $2,187.76 | $3,019.95 | $4,897.79 |
CareSource Setting Professional Modifier None Typical Low $3,388.44 Median $4,265.80 Typical High $5,370.32 | Professional | None | $3,388.44 | $4,265.80 | $5,370.32 |
Cigna Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $4,897.79 | Facility | None | $2,398.83 | $2,398.83 | $4,897.79 |
Cigna Setting Professional Modifier None Typical Low $1,737.80 Median $2,398.83 Typical High $17,782.79 | Professional | None | $1,737.80 | $2,398.83 | $17,782.79 |
Molina Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,570.40 | Professional | None | $2,137.96 | $2,137.96 | $2,570.40 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,698.24 | Facility | None | $1,445.44 | $1,445.44 | $1,698.24 |
United Setting Professional Modifier None Typical Low $1,148.15 Median $1,698.24 Typical High $2,630.27 | Professional | None | $1,148.15 | $1,698.24 | $2,630.27 |
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 $724.44 Median $891.25 Typical High $1,698.24 | Professional | 52 · Reduced service | $724.44 | $891.25 | $1,698.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $354.81 Typical High $676.08 | Professional | 53 · Discontinued | $288.40 | $354.81 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $269.15 Typical High $512.86 | Professional | 55 · Aftercare only | $213.80 | $269.15 | $512.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $144.54 Median $177.83 Typical High $338.84 | Professional | 56 · Pre-op care only | $144.54 | $177.83 | $338.84 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | RR · Rental | $208.93 | $208.93 | $208.93 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | UE · Used equipment | $1,548.82 | $1,548.82 | $1,548.82 |
Where Kentucky sits
The same service costs 2.2 times more in Arkansas 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
$2,042
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.