How much rates vary
Facilitymedian $1,622 · 10th to 90th $513 to $5,888Professionalmedian $646 · 10th to 90th $513 to $1,514
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 $1,071.52 Median $3,715.35 Typical High $7,762.47 | Facility | None | $1,071.52 | $3,715.35 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $549.54 Typical High $851.14 | Professional | None | $457.09 | $549.54 | $851.14 |
Ambetter Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None | $346.74 | $346.74 | $346.74 |
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 $549.54 Median $645.65 Typical High $891.25 | Professional | None | $549.54 | $645.65 | $891.25 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $831.76 Median $977.24 Typical High $1,318.26 | Professional | 50 · Both sides | $831.76 | $977.24 | $1,318.26 |
BCBS Kansas City Setting Professional Modifier None Typical Low $512.86 Median $562.34 Typical High $741.31 | Professional | None | $512.86 | $562.34 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,584.89 Typical High $2,187.76 | Facility | None | $602.56 | $1,584.89 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $588.84 Typical High $1,122.02 | Professional | None | $457.09 | $588.84 | $1,122.02 |
Medica Setting Facility Modifier None Typical Low $602.56 Median $1,819.70 Typical High $16,218.10 | Facility | None | $602.56 | $1,819.70 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $537.03 Median $912.01 Typical High $3,981.07 | Professional | None | $537.03 | $912.01 | $3,981.07 |
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 $478.63 Median $691.83 Typical High $1,096.48 | Professional | None | $478.63 | $691.83 | $1,096.48 |
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 $229.09 Median $275.42 Typical High $302.00 | Professional | 52 · Reduced service | $229.09 | $275.42 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $109.65 Typical High $120.23 | Professional | 53 · Discontinued | $91.20 | $109.65 | $120.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $416.87 Typical High $457.09 | Professional | 54 · Surgery only | $346.74 | $416.87 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $83.18 Typical High $91.20 | Professional | 55 · Aftercare only | $69.18 | $83.18 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $54.95 Typical High $60.26 | Professional | 56 · Pre-op care only | $45.71 | $54.95 | $60.26 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $389.05 Typical High $426.58 | Professional | 78 · Unplanned return to OR | $323.59 | $389.05 | $426.58 |
Where Missouri sits
The same service costs 4.6 times more in Colorado 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
CO $6,382DE $1,376
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.