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 $794.33 Median $891.25 Typical High $1,202.26 | Facility | None | $794.33 | $891.25 | $1,202.26 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $794.33 Typical High $1,202.26 | Professional | None | $724.44 | $794.33 | $1,202.26 |
Ambetter Setting Professional Modifier AS · PA/NP assist Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | AS · PA/NP assist | $181.97 | $181.97 | $181.97 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,235.94 Median $5,370.32 Typical High $10,715.19 | Facility | None | $3,235.94 | $5,370.32 | $10,715.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $776.25 Median $1,122.02 Typical High $1,380.38 | Professional | None | $776.25 | $1,122.02 | $1,380.38 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $125.89 Median $177.83 Typical High $218.78 | Professional | 80 · Assistant surgeon | $125.89 | $177.83 | $218.78 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $109.65 Median $154.88 Typical High $190.55 | Professional | AS · PA/NP assist | $109.65 | $154.88 | $190.55 |
CareSource Setting Facility Modifier None Typical Low $741.31 Median $891.25 Typical High $1,380.38 | Facility | None | $741.31 | $891.25 | $1,380.38 |
CareSource Setting Professional Modifier None Typical Low $794.33 Median $1,230.27 Typical High $1,445.44 | Professional | None | $794.33 | $1,230.27 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $512.86 Typical High $1,513.56 | Facility | None | $34.67 | $512.86 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $1,380.38 Typical High $6,309.57 | Professional | None | $891.25 | $1,380.38 | $6,309.57 |
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 $354.81 Median $912.01 Typical High $8,317.64 | Facility | None | $354.81 | $912.01 | $8,317.64 |
United Setting Professional Modifier None Typical Low $870.96 Median $1,023.29 Typical High $1,513.56 | Professional | None | $870.96 | $1,023.29 | $1,513.56 |
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 Professional Modifier 52 · Reduced service Typical Low $354.81 Median $398.11 Typical High $457.09 | Professional | 52 · Reduced service | $354.81 | $398.11 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $158.49 Typical High $181.97 | Professional | 53 · Discontinued | $141.25 | $158.49 | $181.97 |
Where Kentucky sits
The same service costs 3.4 times more in Alaska than in Utah. 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· 36th of 51
$1,122
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.