How much rates vary
Facilitymedian $708 · 10th to 90th $115 to $2,630Professionalmedian $692 · 10th to 90th $102 to $1,318
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 $114.82 Median $851.14 Typical High $1,548.82 | Facility | None | $114.82 | $851.14 | $1,548.82 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $741.31 Typical High $1,380.38 | Professional | None | $114.82 | $741.31 | $1,380.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $575.44 Median $3,801.89 Typical High $11,220.18 | Facility | None | $575.44 | $3,801.89 | $11,220.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $102.33 Median $676.08 Typical High $933.25 | Professional | None | $102.33 | $676.08 | $933.25 |
CareSource Setting Facility Modifier None Typical Low $93.33 Median $112.20 Typical High $177.83 | Facility | None | $93.33 | $112.20 | $177.83 |
CareSource Setting Professional Modifier None Typical Low $107.15 Median $138.04 Typical High $177.83 | Professional | None | $107.15 | $138.04 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $776.25 Typical High $912.01 | Facility | None | $34.67 | $776.25 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $1,096.48 Typical High $5,754.40 | Professional | None | $112.20 | $1,096.48 | $5,754.40 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $79.43 | Professional | None | $33.11 | $33.11 | $79.43 |
United Setting Facility Modifier None Typical Low $323.59 Median $588.84 Typical High $1,621.81 | Facility | None | $323.59 | $588.84 | $1,621.81 |
United Setting Professional Modifier None Typical Low $138.04 Median $831.76 Typical High $1,479.11 | Professional | None | $138.04 | $831.76 | $1,479.11 |
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 $57.54 Median $93.33 Typical High $691.83 | Facility | 52 · Reduced service | $57.54 | $93.33 | $691.83 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $22.91 Median $37.15 Typical High $275.42 | Facility | 53 · Discontinued | $22.91 | $37.15 | $275.42 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $87.10 Median $138.04 Typical High $1,023.29 | Facility | 54 · Surgery only | $87.10 | $138.04 | $1,023.29 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $17.38 Median $28.18 Typical High $204.17 | Facility | 55 · Aftercare only | $17.38 | $28.18 | $204.17 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $11.48 Median $18.62 Typical High $138.04 | Facility | 56 · Pre-op care only | $11.48 | $18.62 | $138.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $371.54 Typical High $691.83 | Professional | 52 · Reduced service | $57.54 | $371.54 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $147.91 Typical High $275.42 | Professional | 53 · Discontinued | $22.91 | $147.91 | $275.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $87.10 Median $562.34 Typical High $1,023.29 | Professional | 54 · Surgery only | $87.10 | $562.34 | $1,023.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $112.20 Typical High $204.17 | Professional | 55 · Aftercare only | $17.38 | $112.20 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $74.13 Typical High $138.04 | Professional | 56 · Pre-op care only | $11.48 | $74.13 | $138.04 |
Where Kentucky sits
The same service costs 5.5 times more in Hawaii than in Maryland. 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
HI $4,440MD $808
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.