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 $50.12 Median $79.43 Typical High $794.33 | Facility | None | $50.12 | $79.43 | $794.33 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $79.43 Typical High $114.82 | Professional | None | $50.12 | $79.43 | $114.82 |
Ambetter Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $147.91 | Professional | None | $45.71 | $45.71 | $147.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $64.57 Median $1,659.59 Typical High $2,884.03 | Facility | None | $64.57 | $1,659.59 | $2,884.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $42.66 Median $51.29 Typical High $75.86 | Professional | None | $42.66 | $51.29 | $75.86 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $63.10 Median $75.86 Typical High $112.20 | Professional | 50 · Both sides | $63.10 | $75.86 | $112.20 |
CareSource Setting Facility Modifier None Typical Low $54.95 Median $524.81 Typical High $933.25 | Facility | None | $54.95 | $524.81 | $933.25 |
CareSource Setting Professional Modifier None Typical Low $60.26 Median $74.13 Typical High $91.20 | Professional | None | $60.26 | $74.13 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $91.20 Typical High $363.08 | Facility | None | $34.67 | $91.20 | $363.08 |
Cigna Setting Professional Modifier None Typical Low $57.54 Median $91.20 Typical High $489.78 | Professional | None | $57.54 | $91.20 | $489.78 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $51.29 | Professional | None | $33.11 | $33.11 | $51.29 |
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 $64.57 Median $100.00 Typical High $154.88 | Professional | None | $64.57 | $100.00 | $154.88 |
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 $37.15 Median $45.71 Typical High $69.18 | Facility | 54 · Surgery only | $37.15 | $45.71 | $69.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $37.15 Median $58.88 Typical High $69.18 | Professional | 54 · Surgery only | $37.15 | $58.88 | $69.18 |
Where Kentucky sits
The same service costs 3.6 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
$69.18
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.