How much rates vary
Facilitymedian $1,318 · 10th to 90th $603 to $7,413Professionalmedian $646 · 10th to 90th $79 to $1,000
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 $1,174.90 Median $4,168.69 Typical High $11,220.18 | Facility | None | $1,174.90 | $4,168.69 | $11,220.18 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $4,168.69 | Professional | None | $645.65 | $645.65 | $4,168.69 |
Ambetter Setting Professional Modifier None Typical Low $870.96 Median $912.01 Typical High $912.01 | Professional | None | $870.96 | $912.01 | $912.01 |
Anthem BCBS Setting Facility Modifier None Typical Low $562.34 Median $1,174.90 Typical High $4,786.30 | Facility | None | $562.34 | $1,174.90 | $4,786.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $524.81 Median $660.69 Typical High $1,023.29 | Professional | None | $524.81 | $660.69 | $1,023.29 |
Aultcare Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None | $776.25 | $776.25 | $776.25 |
CareSource Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $1,174.90 | Facility | None | $891.25 | $891.25 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,023.29 Typical High $2,398.83 | Facility | None | $602.56 | $1,023.29 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $954.99 Typical High $1,288.25 | Professional | None | $724.44 | $954.99 | $1,288.25 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $602.56 Median $1,023.29 Typical High $2,398.83 | Facility | None | $602.56 | $1,023.29 | $2,398.83 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $724.44 Median $954.99 Typical High $1,288.25 | Professional | None | $724.44 | $954.99 | $1,288.25 |
Molina Setting Professional Modifier None Typical Low $67.61 Median $575.44 Typical High $891.25 | Professional | None | $67.61 | $575.44 | $891.25 |
SummaCare Setting Facility Modifier None Typical Low $489.78 Median $512.86 Typical High $588.84 | Facility | None | $489.78 | $512.86 | $588.84 |
SummaCare Setting Professional Modifier None Typical Low $616.60 Median $676.08 Typical High $891.25 | Professional | None | $616.60 | $676.08 | $891.25 |
United Setting Facility Modifier None Typical Low $691.83 Median $1,445.44 Typical High $5,888.44 | Facility | None | $691.83 | $1,445.44 | $5,888.44 |
United Setting Professional Modifier None Typical Low $457.09 Median $758.58 Typical High $1,318.26 | Professional | None | $457.09 | $758.58 | $1,318.26 |
6 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 $323.59 Median $323.59 Typical High $1,380.38 | Professional | 52 · Reduced service | $323.59 | $323.59 | $1,380.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $128.82 Typical High $549.54 | Professional | 53 · Discontinued | $128.82 | $128.82 | $549.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $489.78 Typical High $2,041.74 | Professional | 54 · Surgery only | $489.78 | $489.78 | $2,041.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $97.72 Typical High $407.38 | Professional | 55 · Aftercare only | $97.72 | $97.72 | $407.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $64.57 Typical High $275.42 | Professional | 56 · Pre-op care only | $64.57 | $64.57 | $275.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $457.09 Typical High $1,905.46 | Professional | 78 · Unplanned return to OR | $457.09 | $457.09 | $1,905.46 |
Where Ohio sits
The same service costs 3.0 times more in Alaska than in Maryland. 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 $5,643MD $1,856
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.