How much rates vary
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 $478.63 Median $602.56 Typical High $3,801.89 | Facility | None | $478.63 | $602.56 | $3,801.89 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $602.56 | Professional | None | $478.63 | $478.63 | $602.56 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,000.00 Median $2,884.03 Typical High $8,511.38 | Facility | None | $1,000.00 | $2,884.03 | $8,511.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $398.11 Median $478.63 Typical High $588.84 | Professional | None | $398.11 | $478.63 | $588.84 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $251.19 Median $302.00 Typical High $371.54 | Professional | 62 · Two surgeons | $251.19 | $302.00 | $371.54 |
CareSource Setting Facility Modifier None Typical Low $389.05 Median $724.44 Typical High $4,897.79 | Facility | None | $389.05 | $724.44 | $4,897.79 |
CareSource Setting Professional Modifier None Typical Low $407.38 Median $575.44 Typical High $724.44 | Professional | None | $407.38 | $575.44 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $1,096.48 Typical High $3,630.78 | Facility | None | $34.67 | $1,096.48 | $3,630.78 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $537.03 Typical High $2,290.87 | Professional | None | $457.09 | $537.03 | $2,290.87 |
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 $436.52 Median $602.56 Typical High $776.25 | Professional | None | $436.52 | $602.56 | $776.25 |
1 more rate 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 54 · Surgery only Typical Low $363.08 Median $363.08 Typical High $457.09 | Professional | 54 · Surgery only | $363.08 | $363.08 | $457.09 |
Where Kentucky sits
The same service costs 4.6 times more in Alaska than in Texas. 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· 40th of 51
$501
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.