How much rates vary
Facilitymedian $661 · 10th to 90th $324 to $4,169Professionalmedian $575 · 10th to 90th $457 to $955
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 $1,737.80 Median $3,235.94 Typical High $12,589.25 | Facility | None | $1,737.80 | $3,235.94 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $4,168.69 | Professional | None | $524.81 | $524.81 | $4,168.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $371.54 Median $794.33 Typical High $3,311.31 | Facility | None | $371.54 | $794.33 | $3,311.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $436.52 Median $537.03 Typical High $933.25 | Professional | None | $436.52 | $537.03 | $933.25 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $645.65 Median $812.83 Typical High $1,380.38 | Professional | 50 · Both sides | $645.65 | $812.83 | $1,380.38 |
CareSource Setting Facility Modifier None Typical Low $302.00 Median $398.11 Typical High $645.65 | Facility | None | $302.00 | $398.11 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $398.11 Typical High $1,479.11 | Facility | None | $295.12 | $398.11 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $575.44 Typical High $1,071.52 | Professional | None | $478.63 | $575.44 | $1,071.52 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $302.00 Median $398.11 Typical High $1,479.11 | Facility | None | $302.00 | $398.11 | $1,479.11 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $478.63 Median $575.44 Typical High $1,071.52 | Professional | None | $478.63 | $575.44 | $1,071.52 |
Molina Setting Professional Modifier None Typical Low $457.09 Median $588.84 Typical High $776.25 | Professional | None | $457.09 | $588.84 | $776.25 |
SummaCare Setting Facility Modifier None Typical Low $158.49 Median $165.96 Typical High $190.55 | Facility | None | $158.49 | $165.96 | $190.55 |
SummaCare Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $758.58 | Professional | None | $478.63 | $478.63 | $758.58 |
United Setting Facility Modifier None Typical Low $363.08 Median $691.83 Typical High $3,311.31 | Facility | None | $363.08 | $691.83 | $3,311.31 |
United Setting Professional Modifier None Typical Low $512.86 Median $630.96 Typical High $1,258.93 | Professional | None | $512.86 | $630.96 | $1,258.93 |
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 $263.03 Median $263.03 Typical High $891.25 | Professional | 52 · Reduced service | $263.03 | $263.03 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $104.71 Typical High $354.81 | Professional | 53 · Discontinued | $104.71 | $104.71 | $354.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $398.11 Typical High $1,348.96 | Professional | 54 · Surgery only | $398.11 | $398.11 | $1,348.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $79.43 Typical High $269.15 | Professional | 55 · Aftercare only | $79.43 | $79.43 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $52.48 Typical High $177.83 | Professional | 56 · Pre-op care only | $52.48 | $52.48 | $177.83 |
Where Ohio sits
The same service costs 4.0 times more in Alaska than in Utah. 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.
Ohio· 43rd of 51
$575
AK $2,089UT $525
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.