How much rates vary
Facilitymedian $2,344 · 10th to 90th $631 to $7,586Professionalmedian $1,047 · 10th to 90th $776 to $2,754
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 $1,698.24 Median $4,897.79 Typical High $7,762.47 | Facility | None | $1,698.24 | $4,897.79 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $812.83 Typical High $1,000.00 | Professional | None | $691.83 | $812.83 | $1,000.00 |
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 $812.83 Median $1,047.13 Typical High $1,513.56 | Professional | None | $812.83 | $1,047.13 | $1,513.56 |
BCBS Kansas City Setting Professional Modifier None Typical Low $851.14 Median $912.01 Typical High $1,096.48 | Professional | None | $851.14 | $912.01 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $2,398.83 Typical High $2,818.38 | Facility | None | $645.65 | $2,398.83 | $2,818.38 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $954.99 Typical High $1,862.09 | Professional | None | $776.25 | $954.99 | $1,862.09 |
Medica Setting Facility Modifier None Typical Low $1,047.13 Median $3,801.89 Typical High $26,302.68 | Facility | None | $1,047.13 | $3,801.89 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $776.25 Median $1,698.24 Typical High $6,918.31 | Professional | None | $776.25 | $1,698.24 | $6,918.31 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $3,467.37 Typical High $6,918.31 | Facility | None | $1,000.00 | $3,467.37 | $6,918.31 |
United Setting Professional Modifier None Typical Low $758.58 Median $1,096.48 Typical High $1,778.28 | Professional | None | $758.58 | $1,096.48 | $1,778.28 |
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 $346.74 Median $407.38 Typical High $446.68 | Professional | 52 · Reduced service | $346.74 | $407.38 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $162.18 Typical High $181.97 | Professional | 53 · Discontinued | $138.04 | $162.18 | $181.97 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $616.60 Typical High $676.08 | Professional | 54 · Surgery only | $512.86 | $616.60 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $123.03 Typical High $134.90 | Professional | 55 · Aftercare only | $102.33 | $123.03 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $81.28 Typical High $89.13 | Professional | 56 · Pre-op care only | $69.18 | $81.28 | $89.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $575.44 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $478.63 | $575.44 | $630.96 |
Where Missouri sits
The same service costs 3.7 times more in Alaska than in Alabama. 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 $8,588AL $2,330
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.