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 $64.57 Median $64.57 Typical High $5,248.07 | Facility | None | $64.57 | $64.57 | $5,248.07 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None | $64.57 | $64.57 | $64.57 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,584.89 Median $8,317.64 Typical High $10,232.93 | Facility | None | $1,584.89 | $8,317.64 | $10,232.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,380.38 Median $1,621.81 Typical High $1,862.09 | Professional | None | $1,380.38 | $1,621.81 | $1,862.09 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $2,089.30 Median $2,454.71 Typical High $2,754.23 | Professional | 50 · Both sides | $2,089.30 | $2,454.71 | $2,754.23 |
CareSource Setting Facility Modifier None Typical Low $70,794.58 Median $70,794.58 Typical High $70,794.58 | Facility | None | $70,794.58 | $70,794.58 | $70,794.58 |
CareSource Setting Professional Modifier None Typical Low $74,131.02 Median $74,131.02 Typical High $74,131.02 | Professional | None | $74,131.02 | $74,131.02 | $74,131.02 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,698.24 Typical High $1,698.24 | Facility | None | $691.83 | $1,698.24 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $4,365.16 Median $4,365.16 Typical High $4,365.16 | Professional | None | $4,365.16 | $4,365.16 | $4,365.16 |
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 $977.24 Median $1,862.09 Typical High $7,943.28 | Facility | None | $977.24 | $1,862.09 | $7,943.28 |
United Setting Professional Modifier None Typical Low $1,047.13 Median $1,148.15 Typical High $1,819.70 | Professional | None | $1,047.13 | $1,148.15 | $1,819.70 |
4 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 $32.36 Median $32.36 Typical High $32.36 | Professional | 52 · Reduced service | $32.36 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | 53 · Discontinued | $12.88 | $12.88 | $12.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | 54 · Surgery only | $48.98 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | 55 · Aftercare only | $9.77 | $9.77 | $9.77 |
Where Kentucky sits
The same service costs 50.1 times more in Oklahoma than in North Carolina. 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· 25th of 51
$1,622
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.