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 $288.40 Median $407.38 Typical High $416.87 | Facility | None | $288.40 | $407.38 | $416.87 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $416.87 Typical High $691.83 | Professional | None | $288.40 | $416.87 | $691.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $501.19 Median $812.83 Typical High $851.14 | Facility | None | $501.19 | $812.83 | $851.14 |
Anthem BCBS Setting Professional Modifier None Typical Low $371.54 Median $478.63 Typical High $616.60 | Professional | None | $371.54 | $478.63 | $616.60 |
CareSource Setting Facility Modifier None Typical Low $512.86 Median $707.95 Typical High $1,148.15 | Facility | None | $512.86 | $707.95 | $1,148.15 |
CareSource Setting Professional Modifier None Typical Low $794.33 Median $1,000.00 Typical High $1,258.93 | Professional | None | $794.33 | $1,000.00 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $1,202.26 | Facility | None | $707.95 | $707.95 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $645.65 Typical High $4,265.80 | Professional | None | $602.56 | $645.65 | $4,265.80 |
Molina Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $630.96 | Professional | None | $524.81 | $524.81 | $630.96 |
United Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
United Setting Professional Modifier None Typical Low $263.03 Median $398.11 Typical High $602.56 | Professional | None | $263.03 | $398.11 | $602.56 |
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 $169.82 Median $208.93 Typical High $346.74 | Professional | 52 · Reduced service | $169.82 | $208.93 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $83.18 Typical High $138.04 | Professional | 53 · Discontinued | $67.61 | $83.18 | $138.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $61.66 Typical High $104.71 | Professional | 55 · Aftercare only | $50.12 | $61.66 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $41.69 Typical High $69.18 | Professional | 56 · Pre-op care only | $33.88 | $41.69 | $69.18 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $47.86 Median $60.26 Typical High $60.26 | Professional | RR · Rental | $47.86 | $60.26 | $60.26 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $363.08 Median $446.68 Typical High $446.68 | Professional | UE · Used equipment | $363.08 | $446.68 | $446.68 |
Where Kentucky sits
The same service costs 2.0 times more in Iowa 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· 49th of 51
$479
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.