How much rates vary
Facilitymedian $1,413 · 10th to 90th $479 to $10,965Professionalmedian $617 · 10th to 90th $479 to $1,514
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 $478.63 Median $562.34 Typical High $7,943.28 | Facility | None | $478.63 | $562.34 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $524.81 Typical High $645.65 | Professional | None | $478.63 | $524.81 | $645.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $758.58 Median $5,888.44 Typical High $11,220.18 | Facility | None | $758.58 | $5,888.44 | $11,220.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $478.63 Median $575.44 Typical High $1,513.56 | Professional | None | $478.63 | $575.44 | $1,513.56 |
CareSource Setting Facility Modifier None Typical Low $457.09 Median $549.54 Typical High $851.14 | Facility | None | $457.09 | $549.54 | $851.14 |
CareSource Setting Professional Modifier None Typical Low $524.81 Median $724.44 Typical High $870.96 | Professional | None | $524.81 | $724.44 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $912.01 Typical High $8,912.51 | Facility | None | $34.67 | $912.01 | $8,912.51 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $812.83 Typical High $3,388.44 | Professional | None | $549.54 | $812.83 | $3,388.44 |
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 $1,148.15 Median $3,162.28 Typical High $12,302.69 | Facility | None | $1,148.15 | $3,162.28 | $12,302.69 |
United Setting Professional Modifier None Typical Low $562.34 Median $724.44 Typical High $1,023.29 | Professional | None | $562.34 | $724.44 | $1,023.29 |
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 $239.88 Median $257.04 Typical High $323.59 | Professional | 52 · Reduced service | $239.88 | $257.04 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $104.71 Typical High $128.82 | Professional | 53 · Discontinued | $95.50 | $104.71 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $363.08 Median $389.05 Typical High $489.78 | Professional | 54 · Surgery only | $363.08 | $389.05 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $77.62 Typical High $97.72 | Professional | 55 · Aftercare only | $72.44 | $77.62 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $52.48 Typical High $64.57 | Professional | 56 · Pre-op care only | $47.86 | $52.48 | $64.57 |
Where Kentucky sits
The same service costs 9.8 times more in Alaska than in Montana. 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 $17,480MT $1,783
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.