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 $46.77 Median $346.74 Typical High $8,511.38 | Facility | None | $46.77 | $346.74 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $281.84 Typical High $363.08 | Professional | None | $47.86 | $281.84 | $363.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,584.89 Median $4,786.30 Typical High $5,888.44 | Facility | None | $1,584.89 | $4,786.30 | $5,888.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $316.23 Median $398.11 Typical High $501.19 | Professional | None | $316.23 | $398.11 | $501.19 |
CareSource Setting Facility Modifier None Typical Low $346.74 Median $5,888.44 Typical High $8,912.51 | Facility | None | $346.74 | $5,888.44 | $8,912.51 |
CareSource Setting Professional Modifier None Typical Low $478.63 Median $6,165.95 Typical High $10,715.19 | Professional | None | $478.63 | $6,165.95 | $10,715.19 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $7,762.47 Typical High $8,511.38 | Facility | None | $602.56 | $7,762.47 | $8,511.38 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,819.70 | $1,819.70 | $1,819.70 |
Molina Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
United Setting Facility Modifier None Typical Low $1,148.15 Median $3,162.28 Typical High $12,302.69 | Facility | None | $1,148.15 | $3,162.28 | $12,302.69 |
United Setting Professional Modifier None Typical Low $57.54 Median $81.28 Typical High $100.00 | Professional | None | $57.54 | $81.28 | $100.00 |
5 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 $23.44 Median $141.25 Typical High $173.78 | Professional | 52 · Reduced service | $23.44 | $141.25 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $56.23 Typical High $69.18 | Professional | 53 · Discontinued | $9.33 | $56.23 | $69.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $35.48 Median $213.80 Typical High $257.04 | Professional | 54 · Surgery only | $35.48 | $213.80 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.08 Median $42.66 Typical High $51.29 | Professional | 55 · Aftercare only | $7.08 | $42.66 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.68 Median $28.18 Typical High $34.67 | Professional | 56 · Pre-op care only | $4.68 | $28.18 | $34.67 |
Where Kentucky sits
The same service costs 93.3 times more in Oregon 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· 37th of 51
$398
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.