How much rates vary
Facilitymedian $1,622 · 10th to 90th $537 to $5,623Professionalmedian $912 · 10th to 90th $661 to $3,311
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 $831.76 Median $4,677.35 Typical High $7,762.47 | Facility | None | $831.76 | $4,677.35 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $660.69 Typical High $891.25 | Professional | None | $537.03 | $660.69 | $891.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $446.68 Median $1,621.81 Typical High $3,890.45 | Facility | None | $446.68 | $1,621.81 | $3,890.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $676.08 Median $870.96 Typical High $1,318.26 | Professional | None | $676.08 | $870.96 | $1,318.26 |
BCBS Kansas City Setting Professional Modifier None Typical Low $691.83 Median $954.99 Typical High $1,096.48 | Professional | None | $691.83 | $954.99 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,445.44 Typical High $2,691.53 | Facility | None | $645.65 | $1,445.44 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $912.01 Typical High $1,548.82 | Professional | None | $676.08 | $912.01 | $1,548.82 |
Medica Setting Facility Modifier None Typical Low $630.96 Median $1,698.24 Typical High $26,302.68 | Facility | None | $630.96 | $1,698.24 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $851.14 Median $5,370.32 Typical High $6,606.93 | Professional | None | $851.14 | $5,370.32 | $6,606.93 |
United Setting Facility Modifier None Typical Low $562.34 Median $1,513.56 Typical High $3,235.94 | Facility | None | $562.34 | $1,513.56 | $3,235.94 |
United Setting Professional Modifier None Typical Low $630.96 Median $933.25 Typical High $1,659.59 | Professional | None | $630.96 | $933.25 | $1,659.59 |
6 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 $269.15 Median $331.13 Typical High $407.38 | Professional | 52 · Reduced service | $269.15 | $331.13 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $134.90 Typical High $162.18 | Professional | 53 · Discontinued | $107.15 | $134.90 | $162.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $501.19 Typical High $602.56 | Professional | 54 · Surgery only | $398.11 | $501.19 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $100.00 Typical High $120.23 | Professional | 55 · Aftercare only | $81.28 | $100.00 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $66.07 Typical High $81.28 | Professional | 56 · Pre-op care only | $53.70 | $66.07 | $81.28 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $371.54 Median $467.74 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $371.54 | $467.74 | $562.34 |
Where Missouri sits
The same service costs 3.7 times more in Alaska than in Delaware. 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 $6,113DE $1,645
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.