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 $2,754.23 Median $2,754.23 Typical High $2,754.23 | Facility | None | $2,754.23 | $2,754.23 | $2,754.23 |
Aetna Setting Professional Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Professional | None | $2,754.23 | $2,754.23 | $2,754.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,162.28 Median $3,311.31 Typical High $3,311.31 | Facility | None | $3,162.28 | $3,311.31 | $3,311.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,089.30 Median $2,754.23 Typical High $2,754.23 | Professional | None | $2,089.30 | $2,754.23 | $2,754.23 |
CareSource Setting Facility Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $4,466.84 | Facility | None | $2,754.23 | $2,754.23 | $4,466.84 |
CareSource Setting Professional Modifier None Typical Low $2,754.23 Median $2,951.21 Typical High $3,890.45 | Professional | None | $2,754.23 | $2,951.21 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $158.49 Typical High $512.86 | Facility | None | $144.54 | $158.49 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $5,248.07 | Professional | None | $125.89 | $125.89 | $5,248.07 |
Molina Setting Professional Modifier None Typical Low $114.82 Median $3,890.45 Typical High $3,890.45 | Professional | None | $114.82 | $3,890.45 | $3,890.45 |
United Setting Professional Modifier None Typical Low $114.82 Median $125.89 Typical High $125.89 | Professional | None | $114.82 | $125.89 | $125.89 |
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 $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | 52 · Reduced service | $1,380.38 | $1,380.38 | $1,380.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $549.54 Median $562.34 Typical High $562.34 | Professional | 53 · Discontinued | $549.54 | $562.34 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | 55 · Aftercare only | $416.87 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | 56 · Pre-op care only | $275.42 | $275.42 | $275.42 |
Where Kentucky sits
The same service costs 37.2 times more in Wyoming 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· 6th of 51
$2,754
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.