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 $165.96 Median $691.83 Typical High $851.14 | Facility | None | $165.96 | $691.83 | $851.14 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $660.69 Typical High $912.01 | Professional | None | $162.18 | $660.69 | $912.01 |
Anthem BCBS Setting Facility Modifier None Typical Low $758.58 Median $5,011.87 Typical High $11,220.18 | Facility | None | $758.58 | $5,011.87 | $11,220.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $162.18 Median $257.04 Typical High $1,071.52 | Professional | None | $162.18 | $257.04 | $1,071.52 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $239.88 Median $389.05 Typical High $1,584.89 | Professional | 50 · Both sides | $239.88 | $389.05 | $1,584.89 |
CareSource Setting Facility Modifier None Typical Low $128.82 Median $239.88 Typical High $1,000.00 | Facility | None | $128.82 | $239.88 | $1,000.00 |
CareSource Setting Professional Modifier None Typical Low $134.90 Median $208.93 Typical High $245.47 | Professional | None | $134.90 | $208.93 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $398.11 Typical High $794.33 | Facility | None | $34.67 | $398.11 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $660.69 Typical High $4,168.69 | Professional | None | $151.36 | $660.69 | $4,168.69 |
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 $173.78 Median $588.84 Typical High $1,202.26 | Professional | None | $173.78 | $588.84 | $1,202.26 |
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 $125.89 Median $151.36 Typical High $645.65 | Facility | 54 · Surgery only | $125.89 | $151.36 | $645.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $120.23 Median $426.58 Typical High $645.65 | Professional | 54 · Surgery only | $120.23 | $426.58 | $645.65 |
Where Kentucky sits
The same service costs 4.0 times more in Wisconsin than in Nebraska. 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· 50th of 51
$339
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.