How much rates vary
Facilitymedian $105 · 10th to 90th $59 to $1,380Professionalmedian $74 · 10th to 90th $50 to $120
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 $58.88 Median $85.11 Typical High $104.71 | Facility | None | $58.88 | $85.11 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $83.18 Typical High $104.71 | Professional | None | $58.88 | $83.18 | $104.71 |
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 $46.77 Median $60.26 Typical High $79.43 | Professional | None | $46.77 | $60.26 | $79.43 |
CareSource Setting Facility Modifier None Typical Low $63.10 Median $89.13 Typical High $112.20 | Facility | None | $63.10 | $89.13 | $112.20 |
CareSource Setting Professional Modifier None Typical Low $64.57 Median $85.11 Typical High $102.33 | Professional | None | $64.57 | $85.11 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $91.20 Typical High $114.82 | Facility | None | $34.67 | $91.20 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $93.33 Typical High $549.54 | Professional | None | $66.07 | $93.33 | $549.54 |
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 $70.79 Median $186.21 Typical High $1,148.15 | Facility | None | $70.79 | $186.21 | $1,148.15 |
United Setting Professional Modifier None Typical Low $63.10 Median $91.20 Typical High $138.04 | Professional | None | $63.10 | $91.20 | $138.04 |
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 $29.51 Median $42.66 Typical High $52.48 | Facility | 52 · Reduced service | $29.51 | $42.66 | $52.48 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $11.75 Median $16.98 Typical High $20.89 | Facility | 53 · Discontinued | $11.75 | $16.98 | $20.89 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $44.67 Median $64.57 Typical High $79.43 | Facility | 54 · Surgery only | $44.67 | $64.57 | $79.43 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $8.91 Median $12.88 Typical High $15.85 | Facility | 55 · Aftercare only | $8.91 | $12.88 | $15.85 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $5.89 Median $8.51 Typical High $10.47 | Facility | 56 · Pre-op care only | $5.89 | $8.51 | $10.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $29.51 Median $41.69 Typical High $52.48 | Professional | 52 · Reduced service | $29.51 | $41.69 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $16.60 Typical High $20.89 | Professional | 53 · Discontinued | $11.75 | $16.60 | $20.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $44.67 Median $63.10 Typical High $79.43 | Professional | 54 · Surgery only | $44.67 | $63.10 | $79.43 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.91 Median $12.59 Typical High $15.85 | Professional | 55 · Aftercare only | $8.91 | $12.59 | $15.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.89 Median $8.32 Typical High $10.47 | Professional | 56 · Pre-op care only | $5.89 | $8.32 | $10.47 |
Where Kentucky sits
The same service costs 3.8 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· 50th of 51
$74.13
AK $282FL $74.13
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.