How much rates vary
Facilitymedian $1,259 · 10th to 90th $389 to $2,818Professionalmedian $407 · 10th to 90th $309 to $631
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 $380.19 Median $446.68 Typical High $3,801.89 | Facility | None | $380.19 | $446.68 | $3,801.89 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $380.19 Typical High $501.19 | Professional | None | $363.08 | $380.19 | $501.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $602.56 Median $1,698.24 Typical High $2,884.03 | Facility | None | $602.56 | $1,698.24 | $2,884.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $309.03 Median $407.38 Typical High $575.44 | Professional | None | $309.03 | $407.38 | $575.44 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $467.74 Median $616.60 Typical High $851.14 | Professional | 50 · Both sides | $467.74 | $616.60 | $851.14 |
CareSource Setting Facility Modifier None Typical Low $288.40 Median $549.54 Typical High $2,818.38 | Facility | None | $288.40 | $549.54 | $2,818.38 |
CareSource Setting Professional Modifier None Typical Low $371.54 Median $478.63 Typical High $562.34 | Professional | None | $371.54 | $478.63 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $1,318.26 Typical High $2,630.27 | Facility | None | $407.38 | $1,318.26 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $549.54 Typical High $2,290.87 | Professional | None | $346.74 | $549.54 | $2,290.87 |
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 $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 $346.74 Median $501.19 Typical High $676.08 | Professional | None | $346.74 | $501.19 | $676.08 |
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 $181.97 Median $190.55 Typical High $239.88 | Professional | 52 · Reduced service | $181.97 | $190.55 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $75.86 Typical High $95.50 | Professional | 53 · Discontinued | $72.44 | $75.86 | $95.50 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $269.15 Median $281.84 Typical High $363.08 | Professional | 54 · Surgery only | $269.15 | $281.84 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $56.23 Typical High $72.44 | Professional | 55 · Aftercare only | $53.70 | $56.23 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $38.02 Typical High $47.86 | Professional | 56 · Pre-op care only | $36.31 | $38.02 | $47.86 |
Where Kentucky sits
The same service costs 5.2 times more in Alaska than in Delaware. 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
AK $4,868DE $935
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.