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 $275.42 Median $389.05 Typical High $724.44 | Facility | None | $275.42 | $389.05 | $724.44 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $489.78 Typical High $630.96 | Professional | None | $316.23 | $489.78 | $630.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $346.74 Median $446.68 Typical High $512.86 | Professional | None | $346.74 | $446.68 | $512.86 |
CareSource Setting Facility Modifier None Typical Low $489.78 Median $676.08 Typical High $1,096.48 | Facility | None | $489.78 | $676.08 | $1,096.48 |
CareSource Setting Professional Modifier None Typical Low $741.31 Median $933.25 Typical High $1,202.26 | Professional | None | $741.31 | $933.25 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $1,047.13 | Facility | None | $660.69 | $660.69 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $616.60 Typical High $3,715.35 | Professional | None | $562.34 | $616.60 | $3,715.35 |
Molina Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
United Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
United Setting Professional Modifier None Typical Low $257.04 Median $371.54 Typical High $575.44 | Professional | None | $257.04 | $371.54 | $575.44 |
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 $158.49 Median $245.47 Typical High $316.23 | Professional | 52 · Reduced service | $158.49 | $245.47 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $97.72 Typical High $125.89 | Professional | 53 · Discontinued | $63.10 | $97.72 | $125.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $72.44 Typical High $95.50 | Professional | 55 · Aftercare only | $47.86 | $72.44 | $95.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $48.98 Typical High $63.10 | Professional | 56 · Pre-op care only | $31.62 | $48.98 | $63.10 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | RR · Rental | $45.71 | $45.71 | $45.71 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $338.84 Median $338.84 Typical High $371.54 | Professional | UE · Used equipment | $338.84 | $338.84 | $371.54 |
Where Kentucky sits
The same service costs 2.5 times more in Montana than in Washington, DC. 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· 46th of 51
$457
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.