How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $162.18 Median $302.00 Typical High $346.74 | Facility | None | $162.18 | $302.00 | $346.74 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $346.74 Typical High $478.63 | Professional | None | $302.00 | $346.74 | $478.63 |
Anthem BCBS Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | None | $478.63 | $478.63 | $478.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $316.23 Median $331.13 Typical High $416.87 | Professional | None | $316.23 | $331.13 | $416.87 |
CareSource Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | None | $478.63 | $478.63 | $478.63 |
CareSource Setting Professional Modifier None Typical Low $478.63 Median $645.65 Typical High $954.99 | Professional | None | $478.63 | $645.65 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Facility | None | $691.83 | $691.83 | $691.83 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $331.13 Typical High $2,511.89 | Professional | None | $218.78 | $331.13 | $2,511.89 |
Molina Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None | $302.00 | $302.00 | $302.00 |
United Setting Professional Modifier None Typical Low $186.21 Median $234.42 Typical High $389.05 | Professional | None | $186.21 | $234.42 | $389.05 |
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 $151.36 Median $173.78 Typical High $234.42 | Professional | 52 · Reduced service | $151.36 | $173.78 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $69.18 Typical High $95.50 | Professional | 53 · Discontinued | $60.26 | $69.18 | $95.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $52.48 Typical High $70.79 | Professional | 55 · Aftercare only | $45.71 | $52.48 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $34.67 Typical High $47.86 | Professional | 56 · Pre-op care only | $30.20 | $34.67 | $47.86 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | RR · Rental | $36.31 | $36.31 | $36.31 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $218.78 Median $218.78 Typical High $275.42 | Professional | UE · Used equipment | $218.78 | $218.78 | $275.42 |
Where Kentucky sits
The same service costs 2.8 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· 28th of 51
$331
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.