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 $446.68 Median $446.68 Typical High $3,801.89 | Facility | None | $446.68 | $446.68 | $3,801.89 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $758.58 | Professional | None | $446.68 | $446.68 | $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 $371.54 Median $467.74 Typical High $630.96 | Professional | None | $371.54 | $467.74 | $630.96 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $60.26 Median $75.86 Typical High $100.00 | Professional | 80 · Assistant surgeon | $60.26 | $75.86 | $100.00 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $52.48 Median $66.07 Typical High $87.10 | Professional | AS · PA/NP assist | $52.48 | $66.07 | $87.10 |
CareSource Setting Facility Modifier None Typical Low $363.08 Median $691.83 Typical High $3,715.35 | Facility | None | $363.08 | $691.83 | $3,715.35 |
CareSource Setting Professional Modifier None Typical Low $426.58 Median $575.44 Typical High $707.95 | Professional | None | $426.58 | $575.44 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $1,071.52 Typical High $2,818.38 | Facility | None | $34.67 | $1,071.52 | $2,818.38 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $691.83 Typical High $2,137.96 | Professional | None | $436.52 | $691.83 | $2,137.96 |
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 $741.31 Median $1,479.11 Typical High $5,128.61 | Facility | None | $741.31 | $1,479.11 | $5,128.61 |
United Setting Professional Modifier None Typical Low $436.52 Median $562.34 Typical High $794.33 | Professional | None | $436.52 | $562.34 | $794.33 |
1 more rate 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 54 · Surgery only Typical Low $338.84 Median $338.84 Typical High $489.78 | Professional | 54 · Surgery only | $338.84 | $338.84 | $489.78 |
Where Kentucky sits
The same service costs 4.3 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· 49th of 51
$468
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.