How much rates vary
Facilitymedian $3,890 · 10th to 90th $724 to $11,220Professionalmedian $562 · 10th to 90th $95 to $933
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 $1,862.09 Median $8,128.31 Typical High $15,848.93 | Facility | None | $1,862.09 | $8,128.31 | $15,848.93 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $9,120.11 | Professional | None | $676.08 | $676.08 | $9,120.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $758.58 Median $2,238.72 Typical High $7,079.46 | Facility | None | $758.58 | $2,238.72 | $7,079.46 |
Anthem BCBS Setting Professional Modifier None Typical Low $562.34 Median $660.69 Typical High $1,047.13 | Professional | None | $562.34 | $660.69 | $1,047.13 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $831.76 Median $977.24 Typical High $1,513.56 | Professional | 50 · Both sides | $831.76 | $977.24 | $1,513.56 |
Aultcare Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None | $660.69 | $660.69 | $660.69 |
CareSource Setting Facility Modifier None Typical Low $812.83 Median $3,630.78 Typical High $4,677.35 | Facility | None | $812.83 | $3,630.78 | $4,677.35 |
CareSource Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | None | $691.83 | $691.83 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $4,265.80 Typical High $6,456.54 | Facility | None | $549.54 | $4,265.80 | $6,456.54 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $707.95 Typical High $1,412.54 | Professional | None | $478.63 | $707.95 | $1,412.54 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $575.44 Median $4,265.80 Typical High $6,025.60 | Facility | None | $575.44 | $4,265.80 | $6,025.60 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $478.63 Median $707.95 Typical High $1,412.54 | Professional | None | $478.63 | $707.95 | $1,412.54 |
Molina Setting Professional Modifier None Typical Low $67.61 Median $371.54 Typical High $660.69 | Professional | None | $67.61 | $371.54 | $660.69 |
SummaCare Setting Facility Modifier None Typical Low $4,168.69 Median $4,365.16 Typical High $4,897.79 | Facility | None | $4,168.69 | $4,365.16 | $4,897.79 |
SummaCare Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $891.25 | Professional | None | $588.84 | $588.84 | $891.25 |
United Setting Facility Modifier None Typical Low $851.14 Median $2,818.38 Typical High $9,120.11 | Facility | None | $851.14 | $2,818.38 | $9,120.11 |
United Setting Professional Modifier None Typical Low $645.65 Median $758.58 Typical High $1,258.93 | Professional | None | $645.65 | $758.58 | $1,258.93 |
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 $338.84 Typical High $1,412.54 | Professional | 52 · Reduced service | $338.84 | $338.84 | $1,412.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $134.90 Typical High $562.34 | Professional | 53 · Discontinued | $134.90 | $134.90 | $562.34 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $512.86 Typical High $2,089.30 | Professional | 54 · Surgery only | $512.86 | $512.86 | $2,089.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $102.33 Typical High $416.87 | Professional | 55 · Aftercare only | $102.33 | $102.33 | $416.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $67.61 Typical High $281.84 | Professional | 56 · Pre-op care only | $67.61 | $67.61 | $281.84 |
Where Ohio 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.