How much rates vary
Facilitymedian $2,138 · 10th to 90th $513 to $5,370Professionalmedian $282 · 10th to 90th $219 to $692
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 $1,548.82 Median $3,981.07 Typical High $7,762.47 | Facility | None | $1,548.82 | $3,981.07 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $245.47 Typical High $288.40 | Professional | None | $204.17 | $245.47 | $288.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,318.26 Median $3,467.37 Typical High $7,079.46 | Facility | None | $1,318.26 | $3,467.37 | $7,079.46 |
Anthem BCBS Setting Professional Modifier None Typical Low $234.42 Median $263.03 Typical High $407.38 | Professional | None | $234.42 | $263.03 | $407.38 |
BCBS Kansas City Setting Professional Modifier None Typical Low $218.78 Median $234.42 Typical High $316.23 | Professional | None | $218.78 | $234.42 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,122.02 Typical High $2,691.53 | Facility | None | $707.95 | $1,122.02 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $269.15 Typical High $512.86 | Professional | None | $199.53 | $269.15 | $512.86 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,174.90 Typical High $4,265.80 | Facility | None | $54.95 | $1,174.90 | $4,265.80 |
Medica Setting Professional Modifier None Typical Low $245.47 Median $416.87 Typical High $1,819.70 | Professional | None | $245.47 | $416.87 | $1,819.70 |
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 $213.80 Median $309.03 Typical High $478.63 | Professional | None | $213.80 | $309.03 | $478.63 |
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 $102.33 Median $120.23 Typical High $134.90 | Professional | 52 · Reduced service | $102.33 | $120.23 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $48.98 Typical High $53.70 | Professional | 53 · Discontinued | $40.74 | $48.98 | $53.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $151.36 Median $181.97 Typical High $199.53 | Professional | 54 · Surgery only | $151.36 | $181.97 | $199.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $36.31 Typical High $40.74 | Professional | 55 · Aftercare only | $30.90 | $36.31 | $40.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $24.55 Typical High $26.92 | Professional | 56 · Pre-op care only | $20.42 | $24.55 | $26.92 |
Where Missouri sits
The same service costs 6.2 times more in Colorado 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
CO $4,689MT $752
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.