How much rates vary
Facilitymedian $1,175 · 10th to 90th $347 to $5,623Professionalmedian $977 · 10th to 90th $309 to $2,512
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 $346.74 Median $851.14 Typical High $2,344.23 | Facility | None | $346.74 | $851.14 | $2,344.23 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $1,174.90 Typical High $1,905.46 | Professional | None | $346.74 | $1,174.90 | $1,905.46 |
Anthem BCBS Setting Facility Modifier None Typical Low $758.58 Median $7,244.36 Typical High $11,220.18 | Facility | None | $758.58 | $7,244.36 | $11,220.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $302.00 Median $933.25 Typical High $1,862.09 | Professional | None | $302.00 | $933.25 | $1,862.09 |
CareSource Setting Facility Modifier None Typical Low $295.12 Median $501.19 Typical High $3,630.78 | Facility | None | $295.12 | $501.19 | $3,630.78 |
CareSource Setting Professional Modifier None Typical Low $316.23 Median $446.68 Typical High $524.81 | Professional | None | $316.23 | $446.68 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $794.33 Typical High $2,630.27 | Facility | None | $34.67 | $794.33 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $1,380.38 Typical High $7,762.47 | Professional | None | $338.84 | $1,380.38 | $7,762.47 |
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 $1,479.11 Typical High $5,128.61 | Facility | None | $741.31 | $1,479.11 | $5,128.61 |
United Setting Professional Modifier None Typical Low $501.19 Median $1,071.52 Typical High $3,019.95 | Professional | None | $501.19 | $1,071.52 | $3,019.95 |
10 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 52 · Reduced service Typical Low $173.78 Median $263.03 Typical High $1,174.90 | Facility | 52 · Reduced service | $173.78 | $263.03 | $1,174.90 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $69.18 Median $104.71 Typical High $467.74 | Facility | 53 · Discontinued | $69.18 | $104.71 | $467.74 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $263.03 Median $389.05 Typical High $1,778.28 | Facility | 54 · Surgery only | $263.03 | $389.05 | $1,778.28 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $52.48 Median $77.62 Typical High $354.81 | Facility | 55 · Aftercare only | $52.48 | $77.62 | $354.81 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $34.67 Median $52.48 Typical High $234.42 | Facility | 56 · Pre-op care only | $34.67 | $52.48 | $234.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $173.78 Median $275.42 Typical High $933.25 | Professional | 52 · Reduced service | $173.78 | $275.42 | $933.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $109.65 Typical High $371.54 | Professional | 53 · Discontinued | $69.18 | $109.65 | $371.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $263.03 Median $416.87 Typical High $1,380.38 | Professional | 54 · Surgery only | $263.03 | $416.87 | $1,380.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $83.18 Typical High $281.84 | Professional | 55 · Aftercare only | $52.48 | $83.18 | $281.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $54.95 Typical High $186.21 | Professional | 56 · Pre-op care only | $34.67 | $54.95 | $186.21 |
Where Kentucky sits
The same service costs 5.1 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· 48th of 51
$1,047
AK $3,020NE $589
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.