How much rates vary
Facilitymedian $630,957 · 10th to 90th $0 to $660,693Professionalmedian $562,341 · 10th to 90th $537,032 to $562,341
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 $562,341.33 Median $562,341.33 Typical High $562,341.33 | Facility | None | $562,341.33 | $562,341.33 | $562,341.33 |
Aetna Setting Professional Modifier None Typical Low $562,341.33 Median $562,341.33 Typical High $562,341.33 | Professional | None | $562,341.33 | $562,341.33 | $562,341.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $281,838.29 Median $281,838.29 Typical High $281,838.29 | Professional | 52 · Reduced service | $281,838.29 | $281,838.29 | $281,838.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112,201.85 Median $112,201.85 Typical High $112,201.85 | Professional | 53 · Discontinued | $112,201.85 | $112,201.85 | $112,201.85 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85,113.80 Median $85,113.80 Typical High $85,113.80 | Professional | 55 · Aftercare only | $85,113.80 | $85,113.80 | $85,113.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56,234.13 Median $56,234.13 Typical High $56,234.13 | Professional | 56 · Pre-op care only | $56,234.13 | $56,234.13 | $56,234.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $0.02 Median $660,693.45 Typical High $660,693.45 | Facility | None | $0.02 | $660,693.45 | $660,693.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $537,031.80 Median $562,341.33 Typical High $562,341.33 | Professional | None | $537,031.80 | $562,341.33 | $562,341.33 |
CareSource Setting Facility Modifier None Typical Low $537,031.80 Median $537,031.80 Typical High $851,138.04 | Facility | None | $537,031.80 | $537,031.80 | $851,138.04 |
CareSource Setting Professional Modifier None Typical Low $537,031.80 Median $562,341.33 Typical High $741,310.24 | Professional | None | $537,031.80 | $562,341.33 | $741,310.24 |
Molina Setting Professional Modifier None Typical Low $5,011.87 Median $537,031.80 Typical High $562,341.33 | Professional | None | $5,011.87 | $537,031.80 | $562,341.33 |
United Setting Professional Modifier None Typical Low $537,031.80 Median $537,031.80 Typical High $691,830.97 | Professional | None | $537,031.80 | $537,031.80 | $691,830.97 |
Where Kentucky sits
Rates are fairly even across states for this service. 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· 49th of 51
$562,341
MS $676,083NJ $537,032
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.