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 $575.44 Median $676.08 Typical High $3,801.89 | Facility | None | $575.44 | $676.08 | $3,801.89 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $575.44 Typical High $758.58 | Professional | None | $549.54 | $575.44 | $758.58 |
Anthem BCBS Setting Facility Modifier None Typical Low $758.58 Median $8,912.51 Typical High $11,220.18 | Facility | None | $758.58 | $8,912.51 | $11,220.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $478.63 Median $630.96 Typical High $891.25 | Professional | None | $478.63 | $630.96 | $891.25 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $707.95 Median $933.25 Typical High $1,318.26 | Professional | 50 · Both sides | $707.95 | $933.25 | $1,318.26 |
CareSource Setting Facility Modifier None Typical Low $436.52 Median $831.76 Typical High $8,128.31 | Facility | None | $436.52 | $831.76 | $8,128.31 |
CareSource Setting Professional Modifier None Typical Low $562.34 Median $724.44 Typical High $851.14 | Professional | None | $562.34 | $724.44 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $870.96 Typical High $6,025.60 | Facility | None | $34.67 | $870.96 | $6,025.60 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $851.14 Typical High $3,548.13 | Professional | None | $524.81 | $851.14 | $3,548.13 |
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 $457.09 Median $794.33 Typical High $2,454.71 | Facility | None | $457.09 | $794.33 | $2,454.71 |
United Setting Professional Modifier None Typical Low $524.81 Median $758.58 Typical High $1,023.29 | Professional | None | $524.81 | $758.58 | $1,023.29 |
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 $275.42 Median $288.40 Typical High $363.08 | Professional | 52 · Reduced service | $275.42 | $288.40 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $114.82 Typical High $147.91 | Professional | 53 · Discontinued | $109.65 | $114.82 | $147.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $436.52 Typical High $549.54 | Professional | 54 · Surgery only | $416.87 | $436.52 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $87.10 Typical High $109.65 | Professional | 55 · Aftercare only | $83.18 | $87.10 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $57.54 Typical High $74.13 | Professional | 56 · Pre-op care only | $54.95 | $57.54 | $74.13 |
Where Kentucky sits
The same service costs 3.9 times more in Alaska than in New York. 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· 47th of 51
$631
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.