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 $4,677.35 Median $4,677.35 Typical High $4,677.35 | Facility | None | $4,677.35 | $4,677.35 | $4,677.35 |
Aetna Setting Professional Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $4,897.79 | Professional | None | $4,677.35 | $4,677.35 | $4,897.79 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,623.41 Median $6,025.60 Typical High $6,025.60 | Facility | None | $5,623.41 | $6,025.60 | $6,025.60 |
Anthem BCBS Setting Professional Modifier None Typical Low $4,466.84 Median $5,128.61 Typical High $5,128.61 | Professional | None | $4,466.84 | $5,128.61 | $5,128.61 |
CareSource Setting Facility Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $4,786.30 | Facility | None | $4,786.30 | $4,786.30 | $4,786.30 |
CareSource Setting Professional Modifier None Typical Low $3,311.31 Median $4,073.80 Typical High $5,248.07 | Professional | None | $3,311.31 | $4,073.80 | $5,248.07 |
Cigna Setting Facility Modifier None Typical Low $6,309.57 Median $6,309.57 Typical High $17,378.01 | Facility | None | $6,309.57 | $6,309.57 | $17,378.01 |
Cigna Setting Professional Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $22,908.68 | Professional | None | $5,011.87 | $5,011.87 | $22,908.68 |
Molina Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
United Setting Professional Modifier None Typical Low $4,897.79 Median $5,128.61 Typical High $5,370.32 | Professional | None | $4,897.79 | $5,128.61 | $5,370.32 |
4 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 $2,344.23 Median $2,344.23 Typical High $2,454.71 | Professional | 52 · Reduced service | $2,344.23 | $2,344.23 | $2,454.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $933.25 Median $933.25 Typical High $977.24 | Professional | 53 · Discontinued | $933.25 | $933.25 | $977.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $707.95 Median $707.95 Typical High $724.44 | Professional | 55 · Aftercare only | $707.95 | $707.95 | $724.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $467.74 Median $467.74 Typical High $489.78 | Professional | 56 · Pre-op care only | $467.74 | $467.74 | $489.78 |
Where Kentucky sits
The same service costs 1.8 times more in Alaska than in North 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· 14th of 51
$5,129
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.