How much rates vary
Facilitymedian $1,445 · 10th to 90th $417 to $5,623Professionalmedian $676 · 10th to 90th $501 to $2,089
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 $645.65 Median $4,897.79 Typical High $7,762.47 | Facility | None | $645.65 | $4,897.79 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $489.78 Typical High $758.58 | Professional | None | $416.87 | $489.78 | $758.58 |
Ambetter Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None | $776.25 | $776.25 | $776.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $446.68 Median $1,513.56 Typical High $3,890.45 | Facility | None | $446.68 | $1,513.56 | $3,890.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $562.34 Median $707.95 Typical High $954.99 | Professional | None | $562.34 | $707.95 | $954.99 |
BCBS Kansas City Setting Professional Modifier None Typical Low $512.86 Median $549.54 Typical High $691.83 | Professional | None | $512.86 | $549.54 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $691.83 Typical High $2,691.53 | Facility | None | $489.78 | $691.83 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $602.56 Typical High $1,202.26 | Professional | None | $512.86 | $602.56 | $1,202.26 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,174.90 Typical High $7,585.78 | Facility | None | $54.95 | $1,174.90 | $7,585.78 |
Medica Setting Professional Modifier None Typical Low $512.86 Median $1,096.48 Typical High $4,073.80 | Professional | None | $512.86 | $1,096.48 | $4,073.80 |
United Setting Facility Modifier None Typical Low $467.74 Median $2,290.87 Typical High $10,964.78 | Facility | None | $467.74 | $2,290.87 | $10,964.78 |
United Setting Professional Modifier None Typical Low $489.78 Median $676.08 Typical High $1,122.02 | Professional | None | $489.78 | $676.08 | $1,122.02 |
3 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 54 · Surgery only Typical Low $309.03 Median $371.54 Typical High $407.38 | Professional | 54 · Surgery only | $309.03 | $371.54 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $74.13 Typical High $81.28 | Professional | 55 · Aftercare only | $61.66 | $74.13 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $48.98 Typical High $54.95 | Professional | 56 · Pre-op care only | $41.69 | $48.98 | $54.95 |
Where Missouri sits
The same service costs 5.9 times more in Alaska than in Arkansas. 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.
Physician feeFacility fee
AK $6,557AR $1,118
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.