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 $831.76 Median $1,047.13 Typical High $8,511.38 | Facility | None | $831.76 | $1,047.13 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $954.99 Typical High $1,122.02 | Professional | None | $831.76 | $954.99 | $1,122.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $758.58 Median $9,332.54 Typical High $11,220.18 | Facility | None | $758.58 | $9,332.54 | $11,220.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $794.33 Median $933.25 Typical High $1,258.93 | Professional | None | $794.33 | $933.25 | $1,258.93 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,174.90 Median $1,412.54 Typical High $1,905.46 | Professional | 50 · Both sides | $1,174.90 | $1,412.54 | $1,905.46 |
CareSource Setting Facility Modifier None Typical Low $891.25 Median $1,445.44 Typical High $5,888.44 | Facility | None | $891.25 | $1,445.44 | $5,888.44 |
CareSource Setting Professional Modifier None Typical Low $912.01 Median $1,230.27 Typical High $1,513.56 | Professional | None | $912.01 | $1,230.27 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $1,584.89 Typical High $4,466.84 | Facility | None | $34.67 | $1,584.89 | $4,466.84 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $1,148.15 Typical High $4,466.84 | Professional | None | $933.25 | $1,148.15 | $4,466.84 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $575.44 | Professional | None | $33.11 | $33.11 | $575.44 |
United Setting Facility Modifier None Typical Low $831.76 Median $2,089.30 Typical High $6,760.83 | Facility | None | $831.76 | $2,089.30 | $6,760.83 |
United Setting Professional Modifier None Typical Low $912.01 Median $1,122.02 Typical High $1,737.80 | Professional | None | $912.01 | $1,122.02 | $1,737.80 |
2 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 54 · Surgery only Typical Low $630.96 Median $707.95 Typical High $776.25 | Professional | 54 · Surgery only | $630.96 | $707.95 | $776.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $588.84 Median $660.69 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $588.84 | $660.69 | $724.44 |
Where Kentucky sits
The same service costs 7.6 times more in Alaska than in Texas. 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
$955
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.