How much rates vary
Facilitymedian $1,950 · 10th to 90th $537 to $7,586Professionalmedian $468 · 10th to 90th $295 to $759
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 $288.40 Median $363.08 Typical High $1,047.13 | Facility | None | $288.40 | $363.08 | $1,047.13 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $354.81 Typical High $660.69 | Professional | None | $288.40 | $354.81 | $660.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $954.99 Median $2,884.03 Typical High $8,511.38 | Facility | None | $954.99 | $2,884.03 | $8,511.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $323.59 Median $467.74 Typical High $602.56 | Professional | None | $323.59 | $467.74 | $602.56 |
CareSource Setting Facility Modifier None Typical Low $309.03 Median $501.19 Typical High $2,041.74 | Facility | None | $309.03 | $501.19 | $2,041.74 |
CareSource Setting Professional Modifier None Typical Low $316.23 Median $426.58 Typical High $524.81 | Professional | None | $316.23 | $426.58 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $1,445.44 Typical High $1,862.09 | Facility | None | $537.03 | $1,445.44 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $602.56 Typical High $3,467.37 | Professional | None | $323.59 | $602.56 | $3,467.37 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $165.96 | Professional | None | $33.11 | $33.11 | $165.96 |
United Setting Facility Modifier None Typical Low $707.95 Median $1,174.90 Typical High $3,890.45 | Facility | None | $707.95 | $1,174.90 | $3,890.45 |
United Setting Professional Modifier None Typical Low $398.11 Median $676.08 Typical High $912.01 | Professional | None | $398.11 | $676.08 | $912.01 |
5 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 $144.54 Median $165.96 Typical High $239.88 | Professional | 52 · Reduced service | $144.54 | $165.96 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $66.07 Typical High $95.50 | Professional | 53 · Discontinued | $58.88 | $66.07 | $95.50 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $251.19 Typical High $363.08 | Professional | 54 · Surgery only | $218.78 | $251.19 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $50.12 Typical High $72.44 | Professional | 55 · Aftercare only | $43.65 | $50.12 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $33.11 Typical High $47.86 | Professional | 56 · Pre-op care only | $28.84 | $33.11 | $47.86 |
Where Kentucky sits
The same service costs 6.1 times more in Oklahoma than in Montana. 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
OK $6,602MT $1,074
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.