How much rates vary
Facilitymedian $8,710 · 10th to 90th $1,000 to $21,380Professionalmedian $5,495 · 10th to 90th $513 to $9,550
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 $1,023.29 Median $10,232.93 Typical High $16,982.44 | Facility | None | $1,023.29 | $10,232.93 | $16,982.44 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $5,495.41 Typical High $14,791.08 | Professional | None | $549.54 | $5,495.41 | $14,791.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,479.11 Median $4,677.35 Typical High $21,877.62 | Facility | None | $1,479.11 | $4,677.35 | $21,877.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $457.09 Median $4,265.80 Typical High $7,943.28 | Professional | None | $457.09 | $4,265.80 | $7,943.28 |
CareSource Setting Facility Modifier None Typical Low $616.60 Median $11,481.54 Typical High $14,791.08 | Facility | None | $616.60 | $11,481.54 | $14,791.08 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $13,182.57 Typical High $22,387.21 | Facility | None | $549.54 | $13,182.57 | $22,387.21 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $1,513.56 Typical High $8,912.51 | Professional | None | $524.81 | $1,513.56 | $8,912.51 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $549.54 Median $13,182.57 Typical High $22,387.21 | Facility | None | $549.54 | $13,182.57 | $22,387.21 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $524.81 Median $1,513.56 Typical High $8,709.64 | Professional | None | $524.81 | $1,513.56 | $8,709.64 |
Molina Setting Professional Modifier None Typical Low $5,495.41 Median $6,606.93 Typical High $8,511.38 | Professional | None | $5,495.41 | $6,606.93 | $8,511.38 |
SummaCare Setting Facility Modifier None Typical Low $6,309.57 Median $6,606.93 Typical High $7,585.78 | Facility | None | $6,309.57 | $6,606.93 | $7,585.78 |
SummaCare Setting Professional Modifier None Typical Low $467.74 Median $5,754.40 Typical High $8,511.38 | Professional | None | $467.74 | $5,754.40 | $8,511.38 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $6,456.54 Typical High $23,442.29 | Facility | None | $1,258.93 | $6,456.54 | $23,442.29 |
United Setting Professional Modifier None Typical Low $549.54 Median $5,370.32 Typical High $11,220.18 | Professional | None | $549.54 | $5,370.32 | $11,220.18 |
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 $275.42 Median $2,754.23 Typical High $3,630.78 | Professional | 52 · Reduced service | $275.42 | $2,754.23 | $3,630.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $1,096.48 Typical High $1,445.44 | Professional | 53 · Discontinued | $112.20 | $1,096.48 | $1,445.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $4,168.69 Typical High $5,495.41 | Professional | 54 · Surgery only | $416.87 | $4,168.69 | $5,495.41 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $831.76 Typical High $1,096.48 | Professional | 55 · Aftercare only | $83.18 | $831.76 | $1,096.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $549.54 Typical High $724.44 | Professional | 56 · Pre-op care only | $54.95 | $549.54 | $724.44 |
Where Ohio sits
The same service costs 6.1 times more in Alaska than in Vermont. 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 $33,081VT $5,424
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.