How much rates vary
Facilitymedian $1,479 · 10th to 90th $398 to $4,786Professionalmedian $407 · 10th to 90th $324 to $676
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 $1,318.26 Median $3,235.94 Typical High $12,589.25 | Facility | None | $1,318.26 | $3,235.94 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $4,168.69 | Professional | None | $363.08 | $363.08 | $4,168.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $436.52 Median $1,122.02 Typical High $4,466.84 | Facility | None | $436.52 | $1,122.02 | $4,466.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $295.12 Median $371.54 Typical High $616.60 | Professional | None | $295.12 | $371.54 | $616.60 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $446.68 Median $562.34 Typical High $933.25 | Professional | 50 · Both sides | $446.68 | $562.34 | $933.25 |
CareSource Setting Facility Modifier None Typical Low $446.68 Median $1,584.89 Typical High $2,089.30 | Facility | None | $446.68 | $1,584.89 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $2,041.74 Typical High $3,311.31 | Facility | None | $363.08 | $2,041.74 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $407.38 Typical High $758.58 | Professional | None | $354.81 | $407.38 | $758.58 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $389.05 Median $2,041.74 Typical High $3,235.94 | Facility | None | $389.05 | $2,041.74 | $3,235.94 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $354.81 Median $407.38 Typical High $758.58 | Professional | None | $354.81 | $407.38 | $758.58 |
Molina Setting Professional Modifier None Typical Low $331.13 Median $416.87 Typical High $562.34 | Professional | None | $331.13 | $416.87 | $562.34 |
SummaCare Setting Facility Modifier None Typical Low $1,122.02 Median $1,174.90 Typical High $1,348.96 | Facility | None | $1,122.02 | $1,174.90 | $1,348.96 |
SummaCare Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $537.03 | Professional | None | $338.84 | $338.84 | $537.03 |
United Setting Facility Modifier None Typical Low $363.08 Median $691.83 Typical High $3,388.44 | Facility | None | $363.08 | $691.83 | $3,388.44 |
United Setting Professional Modifier None Typical Low $354.81 Median $436.52 Typical High $891.25 | Professional | None | $354.81 | $436.52 | $891.25 |
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 $181.97 Typical High $630.96 | Professional | 52 · Reduced service | $181.97 | $181.97 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $72.44 Typical High $251.19 | Professional | 53 · Discontinued | $72.44 | $72.44 | $251.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $275.42 Typical High $954.99 | Professional | 54 · Surgery only | $275.42 | $275.42 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $54.95 Typical High $190.55 | Professional | 55 · Aftercare only | $54.95 | $54.95 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $36.31 Typical High $125.89 | Professional | 56 · Pre-op care only | $36.31 | $36.31 | $125.89 |
Where Ohio 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.