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 $151.36 Median $851.14 Typical High $1,949.84 | Facility | None | $151.36 | $851.14 | $1,949.84 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $1,412.54 Typical High $2,089.30 | Professional | None | $151.36 | $1,412.54 | $2,089.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,174.90 Median $6,760.83 Typical High $11,220.18 | Facility | None | $1,174.90 | $6,760.83 | $11,220.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $134.90 Median $1,318.26 Typical High $2,187.76 | Professional | None | $134.90 | $1,318.26 | $2,187.76 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $199.53 Median $1,949.84 Typical High $3,311.31 | Professional | 50 · Both sides | $199.53 | $1,949.84 | $3,311.31 |
CareSource Setting Facility Modifier None Typical Low $123.03 Median $234.42 Typical High $5,248.07 | Facility | None | $123.03 | $234.42 | $5,248.07 |
CareSource Setting Professional Modifier None Typical Low $141.25 Median $204.17 Typical High $239.88 | Professional | None | $141.25 | $204.17 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $1,584.89 Typical High $3,801.89 | Facility | None | $34.67 | $1,584.89 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $1,445.44 Typical High $9,332.54 | Professional | None | $147.91 | $1,445.44 | $9,332.54 |
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 $741.31 Median $1,621.81 Typical High $5,128.61 | Facility | None | $741.31 | $1,621.81 | $5,128.61 |
United Setting Professional Modifier None Typical Low $173.78 Median $1,479.11 Typical High $3,162.28 | Professional | None | $173.78 | $1,479.11 | $3,162.28 |
3 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 54 · Surgery only Typical Low $114.82 Median $128.82 Typical High $1,479.11 | Facility | 54 · Surgery only | $114.82 | $128.82 | $1,479.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $114.82 Median $173.78 Typical High $1,288.25 | Professional | 54 · Surgery only | $114.82 | $173.78 | $1,288.25 |
Ambetter Setting Professional Modifier 51 · Multiple procedures Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | 51 · Multiple procedures | $1,096.48 | $1,096.48 | $1,096.48 |
Where Kentucky sits
The same service costs 10.0 times more in Alaska than in Nebraska. 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
$1,318
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.