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 $2,570.40 Median $3,801.89 Typical High $4,677.35 | Facility | None | $2,570.40 | $3,801.89 | $4,677.35 |
Aetna Setting Professional Modifier None Typical Low $3,090.30 Median $3,801.89 Typical High $6,918.31 | Professional | None | $3,090.30 | $3,801.89 | $6,918.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,623.41 Median $9,120.11 Typical High $9,549.93 | Facility | None | $5,623.41 | $9,120.11 | $9,549.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $3,630.78 Median $4,265.80 Typical High $6,025.60 | Professional | None | $3,630.78 | $4,265.80 | $6,025.60 |
CareSource Setting Facility Modifier None Typical Low $5,754.40 Median $8,128.31 Typical High $12,882.50 | Facility | None | $5,754.40 | $8,128.31 | $12,882.50 |
CareSource Setting Professional Modifier None Typical Low $8,912.51 Median $11,220.18 Typical High $14,454.40 | Professional | None | $8,912.51 | $11,220.18 | $14,454.40 |
Cigna Setting Facility Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $12,302.69 | Facility | None | $4,677.35 | $4,677.35 | $12,302.69 |
Cigna Setting Professional Modifier None Typical Low $3,467.37 Median $4,677.35 Typical High $37,153.52 | Professional | None | $3,467.37 | $4,677.35 | $37,153.52 |
Molina Setting Professional Modifier None Typical Low $5,754.40 Median $5,754.40 Typical High $6,760.83 | Professional | None | $5,754.40 | $5,754.40 | $6,760.83 |
United Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $3,548.13 | Facility | None | $2,884.03 | $2,884.03 | $3,548.13 |
United Setting Professional Modifier None Typical Low $2,951.21 Median $4,365.16 Typical High $5,888.44 | Professional | None | $2,951.21 | $4,365.16 | $5,888.44 |
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 $1,548.82 Median $1,905.46 Typical High $3,467.37 | Professional | 52 · Reduced service | $1,548.82 | $1,905.46 | $3,467.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $616.60 Median $758.58 Typical High $1,380.38 | Professional | 53 · Discontinued | $616.60 | $758.58 | $1,380.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $467.74 Median $562.34 Typical High $1,047.13 | Professional | 55 · Aftercare only | $467.74 | $562.34 | $1,047.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $309.03 Median $380.19 Typical High $691.83 | Professional | 56 · Pre-op care only | $309.03 | $380.19 | $691.83 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | RR · Rental | $426.58 | $426.58 | $426.58 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Professional | UE · Used equipment | $3,235.94 | $3,235.94 | $3,235.94 |
Where Kentucky sits
The same service costs 2.3 times more in Arkansas than in Vermont. 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· 33rd of 51
$4,266
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.