How much rates vary
Facilitymedian $102 · 10th to 90th $52 to $1,622Professionalmedian $91 · 10th to 90th $54 to $166
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 $45.71 Median $87.10 Typical High $851.14 | Facility | None | $45.71 | $87.10 | $851.14 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $87.10 Typical High $144.54 | Professional | None | $45.71 | $87.10 | $144.54 |
Ambetter Setting Professional Modifier None Typical Low $75.86 Median $112.20 Typical High $125.89 | Professional | None | $75.86 | $112.20 | $125.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $54.95 Median $56.23 Typical High $9,549.93 | Facility | None | $54.95 | $56.23 | $9,549.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $66.07 Median $77.62 Typical High $123.03 | Professional | None | $66.07 | $77.62 | $123.03 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $97.72 Median $117.49 Typical High $181.97 | Professional | 50 · Both sides | $97.72 | $117.49 | $181.97 |
CareSource Setting Facility Modifier None Typical Low $48.98 Median $81.28 Typical High $120.23 | Facility | None | $48.98 | $81.28 | $120.23 |
CareSource Setting Professional Modifier None Typical Low $54.95 Median $67.61 Typical High $83.18 | Professional | None | $54.95 | $67.61 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $93.33 Typical High $398.11 | Facility | None | $34.67 | $93.33 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $117.49 Typical High $954.99 | Professional | None | $51.29 | $117.49 | $954.99 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $64.57 | Professional | None | $33.11 | $33.11 | $64.57 |
United Setting Facility Modifier None Typical Low $323.59 Median $588.84 Typical High $1,621.81 | Facility | None | $323.59 | $588.84 | $1,621.81 |
United Setting Professional Modifier None Typical Low $79.43 Median $125.89 Typical High $181.97 | Professional | None | $79.43 | $125.89 | $181.97 |
10 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 52 · Reduced service Typical Low $22.91 Median $43.65 Typical High $89.13 | Facility | 52 · Reduced service | $22.91 | $43.65 | $89.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $9.12 Median $17.38 Typical High $35.48 | Facility | 53 · Discontinued | $9.12 | $17.38 | $35.48 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $33.88 Median $66.07 Typical High $134.90 | Facility | 54 · Surgery only | $33.88 | $66.07 | $134.90 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $6.76 Median $13.18 Typical High $26.92 | Facility | 55 · Aftercare only | $6.76 | $13.18 | $26.92 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $4.57 Median $8.71 Typical High $17.78 | Facility | 56 · Pre-op care only | $4.57 | $8.71 | $17.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $22.91 Median $43.65 Typical High $51.29 | Professional | 52 · Reduced service | $22.91 | $43.65 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $17.38 Typical High $20.42 | Professional | 53 · Discontinued | $9.12 | $17.38 | $20.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $33.88 Median $66.07 Typical High $75.86 | Professional | 54 · Surgery only | $33.88 | $66.07 | $75.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.76 Median $13.18 Typical High $15.14 | Professional | 55 · Aftercare only | $6.76 | $13.18 | $15.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.57 Median $8.71 Typical High $10.23 | Professional | 56 · Pre-op care only | $4.57 | $8.71 | $10.23 |
Where Kentucky sits
The same service costs 3.2 times more in Alaska than in Virginia. 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· 50th of 51
$91.20
AK $263VA $81.28
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.