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 $87.10 Median $107.15 Typical High $794.33 | Facility | None | $87.10 | $107.15 | $794.33 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $107.15 Typical High $151.36 | Professional | None | $91.20 | $107.15 | $151.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $575.44 Median $3,801.89 Typical High $11,220.18 | Facility | None | $575.44 | $3,801.89 | $11,220.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $74.13 Median $87.10 Typical High $117.49 | Professional | None | $74.13 | $87.10 | $117.49 |
CareSource Setting Facility Modifier None Typical Low $97.72 Median $114.82 Typical High $162.18 | Facility | None | $97.72 | $114.82 | $162.18 |
CareSource Setting Professional Modifier None Typical Low $112.20 Median $138.04 Typical High $169.82 | Professional | None | $112.20 | $138.04 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $107.15 Typical High $186.21 | Facility | None | $34.67 | $107.15 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $125.89 Typical High $660.69 | Professional | None | $104.71 | $125.89 | $660.69 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $79.43 | Professional | None | $33.11 | $33.11 | $79.43 |
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 $95.50 Median $125.89 Typical High $181.97 | Professional | None | $95.50 | $125.89 | $181.97 |
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 Facility Modifier 54 · Surgery only Typical Low $66.07 Median $79.43 Typical High $93.33 | Facility | 54 · Surgery only | $66.07 | $79.43 | $93.33 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $61.66 Median $74.13 Typical High $87.10 | Facility | 78 · Unplanned return to OR | $61.66 | $74.13 | $87.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $69.18 Median $79.43 Typical High $93.33 | Professional | 54 · Surgery only | $69.18 | $79.43 | $93.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $64.57 Median $74.13 Typical High $87.10 | Professional | 78 · Unplanned return to OR | $64.57 | $74.13 | $87.10 |
Ambetter Setting Professional Modifier 51 · Multiple procedures Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 51 · Multiple procedures | $69.18 | $69.18 | $69.18 |
Where Kentucky sits
The same service costs 4.5 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
$105
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.