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 $251.19 Median $316.23 Typical High $3,801.89 | Facility | None | $251.19 | $316.23 | $3,801.89 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $257.04 Typical High $316.23 | Professional | None | $251.19 | $257.04 | $316.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $741.31 Median $2,137.96 Typical High $4,466.84 | Facility | None | $741.31 | $2,137.96 | $4,466.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $213.80 Median $263.03 Typical High $302.00 | Professional | None | $213.80 | $263.03 | $302.00 |
CareSource Setting Facility Modifier None Typical Low $234.42 Median $380.19 Typical High $4,570.88 | Facility | None | $234.42 | $380.19 | $4,570.88 |
CareSource Setting Professional Modifier None Typical Low $218.78 Median $295.12 Typical High $380.19 | Professional | None | $218.78 | $295.12 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $831.76 Typical High $5,754.40 | Facility | None | $34.67 | $831.76 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $281.84 Typical High $1,096.48 | Professional | None | $245.47 | $281.84 | $1,096.48 |
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 $478.63 Median $870.96 Typical High $2,754.23 | Facility | None | $478.63 | $870.96 | $2,754.23 |
United Setting Professional Modifier None Typical Low $239.88 Median $346.74 Typical High $436.52 | Professional | None | $239.88 | $346.74 | $436.52 |
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 $125.89 Median $128.82 Typical High $158.49 | Professional | 52 · Reduced service | $125.89 | $128.82 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $51.29 Typical High $63.10 | Professional | 53 · Discontinued | $50.12 | $51.29 | $63.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $190.55 Typical High $239.88 | Professional | 54 · Surgery only | $186.21 | $190.55 | $239.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $38.02 Typical High $47.86 | Professional | 55 · Aftercare only | $37.15 | $38.02 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $25.70 Typical High $31.62 | Professional | 56 · Pre-op care only | $25.12 | $25.70 | $31.62 |
Where Kentucky sits
The same service costs 4.3 times more in Alaska than in Florida. 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· 45th of 51
$263
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.