How much rates vary
Facilitymedian $229 · 10th to 90th $83 to $2,239Professionalmedian $126 · 10th to 90th $83 to $182
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 $79.43 Median $120.23 Typical High $851.14 | Facility | None | $79.43 | $120.23 | $851.14 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $120.23 Typical High $204.17 | Professional | None | $79.43 | $120.23 | $204.17 |
Anthem BCBS Setting Facility Modifier None Typical Low $575.44 Median $3,801.89 Typical High $11,220.18 | Facility | None | $575.44 | $3,801.89 | $11,220.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $83.18 Median $123.03 Typical High $181.97 | Professional | None | $83.18 | $123.03 | $181.97 |
CareSource Setting Facility Modifier None Typical Low $83.18 Median $97.72 Typical High $138.04 | Facility | None | $83.18 | $97.72 | $138.04 |
CareSource Setting Professional Modifier None Typical Low $75.86 Median $120.23 Typical High $141.25 | Professional | None | $75.86 | $120.23 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $93.33 Typical High $398.11 | Facility | None | $34.67 | $93.33 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $134.90 Typical High $831.76 | Professional | None | $89.13 | $134.90 | $831.76 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $323.59 Median $588.84 Typical High $1,621.81 | Facility | None | $323.59 | $588.84 | $1,621.81 |
United Setting Professional Modifier None Typical Low $85.11 Median $125.89 Typical High $199.53 | Professional | None | $85.11 | $125.89 | $199.53 |
10 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 Facility Modifier 52 · Reduced service Typical Low $39.81 Median $60.26 Typical High $79.43 | Facility | 52 · Reduced service | $39.81 | $60.26 | $79.43 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.85 Median $23.99 Typical High $31.62 | Facility | 53 · Discontinued | $15.85 | $23.99 | $31.62 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $58.88 Median $89.13 Typical High $117.49 | Facility | 54 · Surgery only | $58.88 | $89.13 | $117.49 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $11.75 Median $17.78 Typical High $23.99 | Facility | 55 · Aftercare only | $11.75 | $17.78 | $23.99 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $7.94 Median $12.02 Typical High $15.85 | Facility | 56 · Pre-op care only | $7.94 | $12.02 | $15.85 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $58.88 Typical High $67.61 | Professional | 52 · Reduced service | $39.81 | $58.88 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $23.44 Typical High $26.92 | Professional | 53 · Discontinued | $15.85 | $23.44 | $26.92 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $58.88 Median $87.10 Typical High $102.33 | Professional | 54 · Surgery only | $58.88 | $87.10 | $102.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $17.38 Typical High $20.42 | Professional | 55 · Aftercare only | $11.75 | $17.38 | $20.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $11.75 Typical High $13.49 | Professional | 56 · Pre-op care only | $7.94 | $11.75 | $13.49 |
Where Kentucky sits
The same service costs 3.2 times more in Alaska 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· 45th of 51
$129
AK $372FL $117
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.