How much rates vary
Facilitymedian $2,188 · 10th to 90th $724 to $8,318Professionalmedian $661 · 10th to 90th $537 to $1,175
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 $676.08 Median $758.58 Typical High $8,511.38 | Facility | None | $676.08 | $758.58 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $724.44 Typical High $851.14 | Professional | None | $691.83 | $724.44 | $851.14 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,047.13 Median $3,311.31 Typical High $9,120.11 | Facility | None | $1,047.13 | $3,311.31 | $9,120.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $524.81 Median $630.96 Typical High $831.76 | Professional | None | $524.81 | $630.96 | $831.76 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $794.33 Median $954.99 Typical High $1,258.93 | Professional | 50 · Both sides | $794.33 | $954.99 | $1,258.93 |
CareSource Setting Facility Modifier None Typical Low $630.96 Median $1,023.29 Typical High $2,041.74 | Facility | None | $630.96 | $1,023.29 | $2,041.74 |
CareSource Setting Professional Modifier None Typical Low $691.83 Median $891.25 Typical High $1,047.13 | Professional | None | $691.83 | $891.25 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,412.54 Typical High $2,511.89 | Facility | None | $741.31 | $1,412.54 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $870.96 Typical High $3,548.13 | Professional | None | $616.60 | $870.96 | $3,548.13 |
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 $707.95 Median $1,174.90 Typical High $3,890.45 | Facility | None | $707.95 | $1,174.90 | $3,890.45 |
United Setting Professional Modifier None Typical Low $602.56 Median $660.69 Typical High $1,122.02 | Professional | None | $602.56 | $660.69 | $1,122.02 |
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 $346.74 Median $363.08 Typical High $380.19 | Professional | 52 · Reduced service | $346.74 | $363.08 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $144.54 Typical High $151.36 | Professional | 53 · Discontinued | $141.25 | $144.54 | $151.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $549.54 Typical High $562.34 | Professional | 54 · Surgery only | $524.81 | $549.54 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $109.65 Typical High $112.20 | Professional | 55 · Aftercare only | $104.71 | $109.65 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $72.44 Typical High $75.86 | Professional | 56 · Pre-op care only | $69.18 | $72.44 | $75.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $512.86 Typical High $524.81 | Professional | 78 · Unplanned return to OR | $489.78 | $512.86 | $524.81 |
Where Kentucky sits
The same service costs 4.0 times more in Alaska than in Alabama. 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 $6,054AL $1,518
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.