How much rates vary
Facilitymedian $1,622 · 10th to 90th $347 to $3,981Professionalmedian $339 · 10th to 90th $251 to $513
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 $269.15 Median $346.74 Typical High $851.14 | Facility | None | $269.15 | $346.74 | $851.14 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $346.74 Typical High $446.68 | Professional | None | $269.15 | $346.74 | $446.68 |
Anthem BCBS Setting Facility Modifier None Typical Low $776.25 Median $1,995.26 Typical High $4,265.80 | Facility | None | $776.25 | $1,995.26 | $4,265.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $245.47 Median $309.03 Typical High $436.52 | Professional | None | $245.47 | $309.03 | $436.52 |
CareSource Setting Facility Modifier None Typical Low $257.04 Median $416.87 Typical High $2,344.23 | Facility | None | $257.04 | $416.87 | $2,344.23 |
CareSource Setting Professional Modifier None Typical Low $257.04 Median $363.08 Typical High $426.58 | Professional | None | $257.04 | $363.08 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $1,659.59 Typical High $1,778.28 | Facility | None | $457.09 | $1,659.59 | $1,778.28 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $407.38 Typical High $1,862.09 | Professional | None | $263.03 | $407.38 | $1,862.09 |
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 $707.95 Median $1,174.90 Typical High $3,890.45 | Facility | None | $707.95 | $1,174.90 | $3,890.45 |
United Setting Professional Modifier None Typical Low $316.23 Median $426.58 Typical High $616.60 | Professional | None | $316.23 | $426.58 | $616.60 |
12 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 $134.90 Median $173.78 Typical High $223.87 | Facility | 52 · Reduced service | $134.90 | $173.78 | $223.87 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $54.95 Median $69.18 Typical High $89.13 | Facility | 53 · Discontinued | $54.95 | $69.18 | $89.13 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $204.17 Median $257.04 Typical High $331.13 | Facility | 54 · Surgery only | $204.17 | $257.04 | $331.13 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $40.74 Median $51.29 Typical High $66.07 | Facility | 55 · Aftercare only | $40.74 | $51.29 | $66.07 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $26.92 Median $34.67 Typical High $44.67 | Facility | 56 · Pre-op care only | $26.92 | $34.67 | $44.67 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $190.55 Median $239.88 Typical High $309.03 | Facility | 78 · Unplanned return to OR | $190.55 | $239.88 | $309.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $134.90 Median $173.78 Typical High $223.87 | Professional | 52 · Reduced service | $134.90 | $173.78 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $69.18 Typical High $89.13 | Professional | 53 · Discontinued | $54.95 | $69.18 | $89.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $257.04 Typical High $331.13 | Professional | 54 · Surgery only | $204.17 | $257.04 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $51.29 Typical High $66.07 | Professional | 55 · Aftercare only | $40.74 | $51.29 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $34.67 Typical High $44.67 | Professional | 56 · Pre-op care only | $26.92 | $34.67 | $44.67 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $190.55 Median $239.88 Typical High $309.03 | Professional | 78 · Unplanned return to OR | $190.55 | $239.88 | $309.03 |
Where Kentucky sits
The same service costs 4.9 times more in Alaska than in Utah. 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
$339
AK $1,479UT $302
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.