How much rates vary
Facilitymedian $3,090 · 10th to 90th $724 to $7,762Professionalmedian $676 · 10th to 90th $513 to $1,096
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 $691.83 Median $724.44 Typical High $4,897.79 | Facility | None | $691.83 | $724.44 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $707.95 Typical High $851.14 | Professional | None | $630.96 | $707.95 | $851.14 |
Ambetter Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None | $549.54 | $549.54 | $549.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,737.80 Median $3,890.45 Typical High $7,943.28 | Facility | None | $1,737.80 | $3,890.45 | $7,943.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $446.68 Median $524.81 Typical High $794.33 | Professional | None | $446.68 | $524.81 | $794.33 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $660.69 Median $776.25 Typical High $1,202.26 | Professional | 50 · Both sides | $660.69 | $776.25 | $1,202.26 |
CareSource Setting Facility Modifier None Typical Low $616.60 Median $977.24 Typical High $6,309.57 | Facility | None | $616.60 | $977.24 | $6,309.57 |
CareSource Setting Professional Modifier None Typical Low $676.08 Median $851.14 Typical High $1,023.29 | Professional | None | $676.08 | $851.14 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $1,023.29 Typical High $4,786.30 | Facility | None | $34.67 | $1,023.29 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $933.25 Typical High $2,818.38 | Professional | None | $630.96 | $933.25 | $2,818.38 |
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 $831.76 Median $2,089.30 Typical High $6,760.83 | Facility | None | $831.76 | $2,089.30 | $6,760.83 |
United Setting Professional Modifier None Typical Low $602.56 Median $724.44 Typical High $1,174.90 | Professional | None | $602.56 | $724.44 | $1,174.90 |
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 Professional Modifier 52 · Reduced service Typical Low $338.84 Median $354.81 Typical High $426.58 | Professional | 52 · Reduced service | $338.84 | $354.81 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $141.25 Typical High $169.82 | Professional | 53 · Discontinued | $134.90 | $141.25 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $524.81 Typical High $645.65 | Professional | 54 · Surgery only | $512.86 | $524.81 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $104.71 Typical High $128.82 | Professional | 55 · Aftercare only | $102.33 | $104.71 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $70.79 Typical High $85.11 | Professional | 56 · Pre-op care only | $67.61 | $70.79 | $85.11 |
Where Kentucky sits
The same service costs 5.9 times more in Alaska than in Montana. 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 $12,304MT $2,095
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.