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 $28.18 Median $40.74 Typical High $794.33 | Facility | None | $28.18 | $40.74 | $794.33 |
Aetna Setting Professional Modifier None Typical Low $29.51 Median $40.74 Typical High $58.88 | Professional | None | $29.51 | $40.74 | $58.88 |
Ambetter Setting Professional Modifier None Typical Low $43.65 Median $46.77 Typical High $66.07 | Professional | None | $43.65 | $46.77 | $66.07 |
Anthem BCBS Setting Facility Modifier None Typical Low $28.18 Median $28.84 Typical High $9,549.93 | Facility | None | $28.18 | $28.84 | $9,549.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $27.54 Median $33.11 Typical High $44.67 | Professional | None | $27.54 | $33.11 | $44.67 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $40.74 Median $48.98 Typical High $67.61 | Professional | 50 · Both sides | $40.74 | $48.98 | $67.61 |
CareSource Setting Facility Modifier None Typical Low $29.51 Median $35.48 Typical High $50.12 | Facility | None | $29.51 | $35.48 | $50.12 |
CareSource Setting Professional Modifier None Typical Low $43.65 Median $48.98 Typical High $64.57 | Professional | None | $43.65 | $48.98 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $34.67 Typical High $53.70 | Facility | None | $25.70 | $34.67 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $50.12 Typical High $245.47 | Professional | None | $32.36 | $50.12 | $245.47 |
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 $39.81 Median $54.95 Typical High $72.44 | Professional | None | $39.81 | $54.95 | $72.44 |
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 $20.89 Median $28.84 Typical High $35.48 | Facility | 54 · Surgery only | $20.89 | $28.84 | $35.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $20.89 Median $30.90 Typical High $35.48 | Professional | 54 · Surgery only | $20.89 | $30.90 | $35.48 |
Where Kentucky sits
The same service costs 3.3 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
$40.74
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.