How much rates vary
Facilitymedian $562 · 10th to 90th $288 to $8,511Professionalmedian $363 · 10th to 90th $257 to $562
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 $309.03 Median $416.87 Typical High $794.33 | Facility | None | $309.03 | $416.87 | $794.33 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $338.84 Typical High $446.68 | Professional | None | $309.03 | $338.84 | $446.68 |
Ambetter Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None | $169.82 | $169.82 | $169.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $758.58 Median $5,011.87 Typical High $11,220.18 | Facility | None | $758.58 | $5,011.87 | $11,220.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $257.04 Median $346.74 Typical High $436.52 | Professional | None | $257.04 | $346.74 | $436.52 |
CareSource Setting Facility Modifier None Typical Low $239.88 Median $288.40 Typical High $457.09 | Facility | None | $239.88 | $288.40 | $457.09 |
CareSource Setting Professional Modifier None Typical Low $309.03 Median $398.11 Typical High $467.74 | Professional | None | $309.03 | $398.11 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $501.19 Typical High $794.33 | Facility | None | $34.67 | $501.19 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $562.34 Typical High $1,348.96 | Professional | None | $288.40 | $562.34 | $1,348.96 |
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 $354.81 Median $912.01 Typical High $8,317.64 | Facility | None | $354.81 | $912.01 | $8,317.64 |
United Setting Professional Modifier None Typical Low $363.08 Median $478.63 Typical High $616.60 | Professional | None | $363.08 | $478.63 | $616.60 |
5 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 $154.88 Median $169.82 Typical High $223.87 | Professional | 52 · Reduced service | $154.88 | $169.82 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $67.61 Typical High $91.20 | Professional | 53 · Discontinued | $61.66 | $67.61 | $91.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $234.42 Median $257.04 Typical High $338.84 | Professional | 54 · Surgery only | $234.42 | $257.04 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $51.29 Typical High $67.61 | Professional | 55 · Aftercare only | $46.77 | $51.29 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $33.88 Typical High $44.67 | Professional | 56 · Pre-op care only | $30.90 | $33.88 | $44.67 |
Where Kentucky sits
The same service costs 6.1 times more in Alaska than in Maryland. 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 $5,496MD $901
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.