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 $28.84 Median $123.03 Typical High $851.14 | Facility | None | $28.84 | $123.03 | $851.14 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $123.03 Typical High $190.55 | Professional | None | $28.84 | $123.03 | $190.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,019.95 Median $9,120.11 Typical High $11,220.18 | Facility | None | $3,019.95 | $9,120.11 | $11,220.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $28.18 Median $117.49 Typical High $208.93 | Professional | None | $28.18 | $117.49 | $208.93 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $4.57 Median $22.39 Typical High $33.88 | Professional | 80 · Assistant surgeon | $4.57 | $22.39 | $33.88 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $4.07 Median $16.98 Typical High $29.51 | Professional | AS · PA/NP assist | $4.07 | $16.98 | $29.51 |
CareSource Setting Facility Modifier None Typical Low $23.44 Median $28.18 Typical High $44.67 | Facility | None | $23.44 | $28.18 | $44.67 |
CareSource Setting Professional Modifier None Typical Low $30.20 Median $38.90 Typical High $45.71 | Professional | None | $30.20 | $38.90 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $46.77 Typical High $46.77 | Facility | None | $34.67 | $46.77 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $120.23 Typical High $831.76 | Professional | None | $28.84 | $120.23 | $831.76 |
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 $50.12 Median $416.87 Typical High $1,949.84 | Facility | None | $50.12 | $416.87 | $1,949.84 |
United Setting Professional Modifier None Typical Low $32.36 Median $134.90 Typical High $239.88 | Professional | None | $32.36 | $134.90 | $239.88 |
2 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 54 · Surgery only Typical Low $21.88 Median $27.54 Typical High $114.82 | Facility | 54 · Surgery only | $21.88 | $27.54 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $21.88 Median $91.20 Typical High $114.82 | Professional | 54 · Surgery only | $21.88 | $91.20 | $114.82 |
Where Kentucky sits
The same service costs 4.7 times more in Wisconsin 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.
Kentucky· 38th of 51
$120
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.