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 $138.04 Median $204.17 Typical High $794.33 | Facility | None | $138.04 | $204.17 | $794.33 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $181.97 Typical High $245.47 | Professional | None | $134.90 | $181.97 | $245.47 |
Ambetter Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $169.82 | Professional | None | $109.65 | $109.65 | $169.82 |
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 $102.33 Median $128.82 Typical High $208.93 | Professional | None | $102.33 | $128.82 | $208.93 |
CareSource Setting Facility Modifier None Typical Low $141.25 Median $213.80 Typical High $275.42 | Facility | None | $141.25 | $213.80 | $275.42 |
CareSource Setting Professional Modifier None Typical Low $141.25 Median $190.55 Typical High $234.42 | Professional | None | $141.25 | $190.55 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $194.98 Typical High $398.11 | Facility | None | $34.67 | $194.98 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $213.80 Typical High $1,071.52 | Professional | None | $144.54 | $213.80 | $1,071.52 |
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 $123.03 Median $194.98 Typical High $309.03 | Professional | None | $123.03 | $194.98 | $309.03 |
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 $75.86 Median $114.82 Typical High $169.82 | Facility | 54 · Surgery only | $75.86 | $114.82 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $102.33 Median $138.04 Typical High $169.82 | Professional | 54 · Surgery only | $102.33 | $138.04 | $169.82 |
Where Kentucky sits
The same service costs 4.2 times more in Alaska 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
$148
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.