How much rates vary
Facilitymedian $1,413 · 10th to 90th $617 to $3,981Professionalmedian $794 · 10th to 90th $631 to $1,230
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 $645.65 Median $794.33 Typical High $5,248.07 | Facility | None | $645.65 | $794.33 | $5,248.07 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $741.31 Typical High $1,000.00 | Professional | None | $645.65 | $741.31 | $1,000.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $724.44 Median $1,995.26 Typical High $4,265.80 | Facility | None | $724.44 | $1,995.26 | $4,265.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $616.60 Median $794.33 Typical High $1,174.90 | Professional | None | $616.60 | $794.33 | $1,174.90 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $933.25 Median $1,202.26 Typical High $1,737.80 | Professional | 50 · Both sides | $933.25 | $1,202.26 | $1,737.80 |
CareSource Setting Facility Modifier None Typical Low $602.56 Median $1,096.48 Typical High $1,412.54 | Facility | None | $602.56 | $1,096.48 | $1,412.54 |
CareSource Setting Professional Modifier None Typical Low $707.95 Median $912.01 Typical High $1,122.02 | Professional | None | $707.95 | $912.01 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $1,071.52 Typical High $1,659.59 | Facility | None | $831.76 | $1,071.52 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $954.99 Typical High $5,248.07 | Professional | None | $724.44 | $954.99 | $5,248.07 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $398.11 | Professional | None | $33.11 | $33.11 | $398.11 |
United Setting Facility Modifier None Typical Low $457.09 Median $794.33 Typical High $2,454.71 | Facility | None | $457.09 | $794.33 | $2,454.71 |
United Setting Professional Modifier None Typical Low $741.31 Median $912.01 Typical High $1,348.96 | Professional | None | $741.31 | $912.01 | $1,348.96 |
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 $323.59 Median $371.54 Typical High $478.63 | Professional | 52 · Reduced service | $323.59 | $371.54 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $147.91 Typical High $190.55 | Professional | 53 · Discontinued | $128.82 | $147.91 | $190.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $549.54 Typical High $707.95 | Professional | 54 · Surgery only | $478.63 | $549.54 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $109.65 Typical High $141.25 | Professional | 55 · Aftercare only | $97.72 | $109.65 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $74.13 Typical High $95.50 | Professional | 56 · Pre-op care only | $64.57 | $74.13 | $95.50 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $512.86 Typical High $660.69 | Professional | 78 · Unplanned return to OR | $446.68 | $512.86 | $660.69 |
Where Kentucky sits
The same service costs 3.6 times more in Alaska than in Alabama. 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.
Physician feeFacility fee
AK $5,545AL $1,558
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.