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 $39.81 Median $72.44 Typical High $851.14 | Facility | None | $39.81 | $72.44 | $851.14 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $69.18 Typical High $89.13 | Professional | None | $38.90 | $69.18 | $89.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $575.44 Median $3,801.89 Typical High $11,220.18 | Facility | None | $575.44 | $3,801.89 | $11,220.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $35.48 Median $54.95 Typical High $79.43 | Professional | None | $35.48 | $54.95 | $79.43 |
CareSource Setting Facility Modifier None Typical Low $35.48 Median $56.23 Typical High $72.44 | Facility | None | $35.48 | $56.23 | $72.44 |
CareSource Setting Professional Modifier None Typical Low $33.11 Median $50.12 Typical High $60.26 | Professional | None | $33.11 | $50.12 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $53.70 Typical High $60.26 | Facility | None | $34.67 | $53.70 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $37.15 Median $67.61 Typical High $363.08 | Professional | None | $37.15 | $67.61 | $363.08 |
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 $70.79 Median $186.21 Typical High $1,148.15 | Facility | None | $70.79 | $186.21 | $1,148.15 |
United Setting Professional Modifier None Typical Low $39.81 Median $63.10 Typical High $100.00 | Professional | None | $39.81 | $63.10 | $100.00 |
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 $30.20 Median $37.15 Typical High $67.61 | Facility | 54 · Surgery only | $30.20 | $37.15 | $67.61 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $29.51 Median $50.12 Typical High $67.61 | Professional | 54 · Surgery only | $29.51 | $50.12 | $67.61 |
Where Kentucky sits
The same service costs 3.5 times more in Wisconsin than in Kentucky. 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· 51st of 51
$56.23
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.