How much rates vary
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 $54.95 Median $57.54 Typical High $64.57 | Facility | None | $54.95 | $57.54 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $58.88 Typical High $64.57 | Professional | None | $54.95 | $58.88 | $64.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $43.65 Median $56.23 Typical High $81.28 | Professional | None | $43.65 | $56.23 | $81.28 |
CareSource Setting Facility Modifier None Typical Low $42.66 Median $51.29 Typical High $81.28 | Facility | None | $42.66 | $51.29 | $81.28 |
CareSource Setting Professional Modifier None Typical Low $45.71 Median $70.79 Typical High $83.18 | Professional | None | $45.71 | $70.79 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $81.28 Typical High $107.15 | Facility | None | $58.88 | $81.28 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $93.33 Typical High $257.04 | Professional | None | $51.29 | $93.33 | $257.04 |
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 $70.79 Median $186.21 Typical High $1,148.15 | Facility | None | $70.79 | $186.21 | $1,148.15 |
United Setting Professional Modifier None Typical Low $63.10 Median $79.43 Typical High $112.20 | Professional | None | $63.10 | $79.43 | $112.20 |
1 more rate 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 54 · Surgery only Typical Low $41.69 Median $43.65 Typical High $48.98 | Professional | 54 · Surgery only | $41.69 | $43.65 | $48.98 |
Where Kentucky sits
The same service costs 3.5 times more in Wisconsin than in South Carolina. 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· 48th of 51
$64.57
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.