How much rates vary
Facilitymedian $81 · 10th to 90th $42 to $1,380Professionalmedian $54 · 10th to 90th $39 to $93
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 $41.69 Median $64.57 Typical High $81.28 | Facility | None | $41.69 | $64.57 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $64.57 Typical High $81.28 | Professional | None | $41.69 | $64.57 | $81.28 |
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 $38.90 Median $46.77 Typical High $63.10 | Professional | None | $38.90 | $46.77 | $63.10 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $58.88 Median $70.79 Typical High $95.50 | Professional | 50 · Both sides | $58.88 | $70.79 | $95.50 |
CareSource Setting Facility Modifier None Typical Low $44.67 Median $72.44 Typical High $95.50 | Facility | None | $44.67 | $72.44 | $95.50 |
CareSource Setting Professional Modifier None Typical Low $44.67 Median $60.26 Typical High $74.13 | Professional | None | $44.67 | $60.26 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $70.79 Typical High $79.43 | Facility | None | $34.67 | $70.79 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $70.79 Typical High $398.11 | Professional | None | $45.71 | $70.79 | $398.11 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $33.11 Typical High $40.74 | Professional | None | $30.20 | $33.11 | $40.74 |
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 $47.86 Median $67.61 Typical High $104.71 | Professional | None | $47.86 | $67.61 | $104.71 |
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 $20.89 Median $32.36 Typical High $40.74 | Facility | 52 · Reduced service | $20.89 | $32.36 | $40.74 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.32 Median $12.88 Typical High $16.22 | Facility | 53 · Discontinued | $8.32 | $12.88 | $16.22 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $30.90 Median $47.86 Typical High $60.26 | Facility | 54 · Surgery only | $30.90 | $47.86 | $60.26 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $6.17 Median $9.55 Typical High $12.02 | Facility | 55 · Aftercare only | $6.17 | $9.55 | $12.02 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $4.17 Median $6.46 Typical High $8.13 | Facility | 56 · Pre-op care only | $4.17 | $6.46 | $8.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.89 Median $31.62 Typical High $40.74 | Professional | 52 · Reduced service | $20.89 | $31.62 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $12.88 Typical High $16.22 | Professional | 53 · Discontinued | $8.32 | $12.88 | $16.22 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $30.90 Median $47.86 Typical High $60.26 | Professional | 54 · Surgery only | $30.90 | $47.86 | $60.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $9.55 Typical High $12.02 | Professional | 55 · Aftercare only | $6.17 | $9.55 | $12.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.17 Median $6.31 Typical High $8.13 | Professional | 56 · Pre-op care only | $4.17 | $6.31 | $8.13 |
Where Kentucky sits
The same service costs 3.6 times more in Alaska than in Kentucky. 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· 51st of 51
$56.23
AK $204KY $56.23
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.