How much rates vary
Facilitymedian $2,630 · 10th to 90th $269 to $8,511Professionalmedian $692 · 10th to 90th $186 to $3,467
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 $213.80 Median $851.14 Typical High $3,890.45 | Facility | None | $213.80 | $851.14 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $1,548.82 Typical High $3,235.94 | Professional | None | $213.80 | $1,548.82 | $3,235.94 |
Ambetter Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $134.90 | Professional | None | $120.23 | $120.23 | $134.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,071.52 Median $3,311.31 Typical High $9,120.11 | Facility | None | $1,071.52 | $3,311.31 | $9,120.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $165.96 Median $602.56 Typical High $2,454.71 | Professional | None | $165.96 | $602.56 | $2,454.71 |
CareSource Setting Facility Modifier None Typical Low $218.78 Median $363.08 Typical High $7,079.46 | Facility | None | $218.78 | $363.08 | $7,079.46 |
CareSource Setting Professional Modifier None Typical Low $245.47 Median $316.23 Typical High $371.54 | Professional | None | $245.47 | $316.23 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $831.76 Typical High $5,128.61 | Facility | None | $34.67 | $831.76 | $5,128.61 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $2,454.71 Typical High $12,882.50 | Professional | None | $229.09 | $2,454.71 | $12,882.50 |
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 $2,290.87 Typical High $6,760.83 | Facility | None | $831.76 | $2,290.87 | $6,760.83 |
United Setting Professional Modifier None Typical Low $229.09 Median $2,511.89 Typical High $4,786.30 | Professional | None | $229.09 | $2,511.89 | $4,786.30 |
10 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 52 · Reduced service Typical Low $107.15 Median $134.90 Typical High $1,621.81 | Facility | 52 · Reduced service | $107.15 | $134.90 | $1,621.81 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $42.66 Median $53.70 Typical High $645.65 | Facility | 53 · Discontinued | $42.66 | $53.70 | $645.65 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $158.49 Median $199.53 Typical High $2,398.83 | Facility | 54 · Surgery only | $158.49 | $199.53 | $2,398.83 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $32.36 Median $39.81 Typical High $478.63 | Facility | 55 · Aftercare only | $32.36 | $39.81 | $478.63 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $21.38 Median $26.92 Typical High $323.59 | Facility | 56 · Pre-op care only | $21.38 | $26.92 | $323.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $107.15 Median $173.78 Typical High $1,230.27 | Professional | 52 · Reduced service | $107.15 | $173.78 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $69.18 Typical High $489.78 | Professional | 53 · Discontinued | $42.66 | $69.18 | $489.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $158.49 Median $257.04 Typical High $1,819.70 | Professional | 54 · Surgery only | $158.49 | $257.04 | $1,819.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $51.29 Typical High $363.08 | Professional | 55 · Aftercare only | $32.36 | $51.29 | $363.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $34.67 Typical High $245.47 | Professional | 56 · Pre-op care only | $21.38 | $34.67 | $245.47 |
Where Kentucky sits
The same service costs 11.2 times more in Alaska than in Nebraska. 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· 46th of 51
$1,905
AK $5,248NE $468
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.