How much rates vary
Facilitymedian $537 · 10th to 90th $240 to $8,318Professionalmedian $288 · 10th to 90th $200 to $417
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 $239.88 Median $316.23 Typical High $794.33 | Facility | None | $239.88 | $316.23 | $794.33 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $257.04 Typical High $346.74 | Professional | None | $239.88 | $257.04 | $346.74 |
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 $199.53 Median $269.15 Typical High $316.23 | Professional | None | $199.53 | $269.15 | $316.23 |
CareSource Setting Facility Modifier None Typical Low $181.97 Median $218.78 Typical High $346.74 | Facility | None | $181.97 | $218.78 | $346.74 |
CareSource Setting Professional Modifier None Typical Low $239.88 Median $302.00 Typical High $354.81 | Professional | None | $239.88 | $302.00 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $380.19 Typical High $691.83 | Facility | None | $34.67 | $380.19 | $691.83 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $426.58 Typical High $1,047.13 | Professional | None | $223.87 | $426.58 | $1,047.13 |
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 $281.84 Median $371.54 Typical High $478.63 | Professional | None | $281.84 | $371.54 | $478.63 |
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 $120.23 Median $128.82 Typical High $173.78 | Professional | 52 · Reduced service | $120.23 | $128.82 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $52.48 Typical High $69.18 | Professional | 53 · Discontinued | $47.86 | $52.48 | $69.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $194.98 Typical High $257.04 | Professional | 54 · Surgery only | $177.83 | $194.98 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $38.90 Typical High $52.48 | Professional | 55 · Aftercare only | $35.48 | $38.90 | $52.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $25.70 Typical High $34.67 | Professional | 56 · Pre-op care only | $23.99 | $25.70 | $34.67 |
Ambetter Setting Professional Modifier 51 · Multiple procedures Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | 51 · Multiple procedures | $131.83 | $131.83 | $131.83 |
Where Kentucky sits
The same service costs 7.3 times more in Alaska than in Montana. 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 $5,199MT $710
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.