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 $251.19 Median $891.25 Typical High $1,862.09 | Facility | None | $251.19 | $891.25 | $1,862.09 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $109.65 Typical High $251.19 | Professional | None | $95.50 | $109.65 | $251.19 |
Ambetter Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None | $42.66 | $42.66 | $42.66 |
BCBS Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
BCBS Setting Professional Modifier 32 · Mandated service Typical Low $107.15 Median $147.91 Typical High $223.87 | Professional | 32 · Mandated service | $107.15 | $147.91 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $102.33 Typical High $512.86 | Facility | None | $50.12 | $102.33 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $102.33 Typical High $158.49 | Professional | None | $66.07 | $102.33 | $158.49 |
United Setting Facility Modifier None Typical Low $100.00 Median $363.08 Typical High $1,380.38 | Facility | None | $100.00 | $363.08 | $1,380.38 |
United Setting Professional Modifier None Typical Low $47.86 Median $100.00 Typical High $154.88 | Professional | None | $47.86 | $100.00 | $154.88 |
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 $47.86 Median $72.44 Typical High $125.89 | Professional | 52 · Reduced service | $47.86 | $72.44 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $28.84 Typical High $50.12 | Professional | 53 · Discontinued | $19.05 | $28.84 | $50.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $70.79 Median $109.65 Typical High $190.55 | Professional | 54 · Surgery only | $70.79 | $109.65 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $21.88 Typical High $38.02 | Professional | 55 · Aftercare only | $14.13 | $21.88 | $38.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $14.45 Typical High $25.12 | Professional | 56 · Pre-op care only | $9.55 | $14.45 | $25.12 |
BCBS Setting Facility Modifier 50 · Both sides Typical Low $239.88 Median $245.47 Typical High $245.47 | Facility | 50 · Both sides | $239.88 | $245.47 | $245.47 |
Where Alabama sits
The same service costs 4.0 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.
Alabama· 29th of 51
$129
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.