How much rates vary
Facilitymedian $1,622 · 10th to 90th $447 to $4,898Professionalmedian $933 · 10th to 90th $708 to $2,138
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 $3,715.35 Typical High $7,762.47 | Facility | None | $1,548.82 | $3,715.35 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $758.58 Typical High $1,479.11 | Professional | None | $645.65 | $758.58 | $1,479.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $151.36 Median $1,621.81 Typical High $3,890.45 | Facility | None | $151.36 | $1,621.81 | $3,890.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $776.25 Median $912.01 Typical High $1,258.93 | Professional | None | $776.25 | $912.01 | $1,258.93 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,174.90 Median $1,380.38 Typical High $1,862.09 | Professional | 50 · Both sides | $1,174.90 | $1,380.38 | $1,862.09 |
BCBS Kansas City Setting Professional Modifier None Typical Low $741.31 Median $812.83 Typical High $1,071.52 | Professional | None | $741.31 | $812.83 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,122.02 Typical High $2,187.76 | Facility | None | $602.56 | $1,122.02 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $812.83 Typical High $1,584.89 | Professional | None | $630.96 | $812.83 | $1,584.89 |
Medica Setting Facility Modifier None Typical Low $645.65 Median $1,862.09 Typical High $16,218.10 | Facility | None | $645.65 | $1,862.09 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $776.25 Median $1,318.26 Typical High $5,623.41 | Professional | None | $776.25 | $1,318.26 | $5,623.41 |
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 $676.08 Median $977.24 Typical High $1,513.56 | Professional | None | $676.08 | $977.24 | $1,513.56 |
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 $323.59 Median $380.19 Typical High $426.58 | Professional | 52 · Reduced service | $323.59 | $380.19 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $151.36 Typical High $169.82 | Professional | 53 · Discontinued | $128.82 | $151.36 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $575.44 Typical High $630.96 | Professional | 54 · Surgery only | $478.63 | $575.44 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $114.82 Typical High $125.89 | Professional | 55 · Aftercare only | $95.50 | $114.82 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $75.86 Typical High $85.11 | Professional | 56 · Pre-op care only | $64.57 | $75.86 | $85.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $537.03 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $446.68 | $537.03 | $588.84 |
Where Missouri sits
The same service costs 3.6 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 $5,545AL $1,558
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.