How much rates vary
Facilitymedian $2,818 · 10th to 90th $1,096 to $9,120Professionalmedian $513 · 10th to 90th $355 to $1,349
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 $5,623.41 Typical High $10,715.19 | Facility | None | $1,698.24 | $5,623.41 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $363.08 Typical High $562.34 | Professional | None | $331.13 | $363.08 | $562.34 |
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 $380.19 Median $524.81 Typical High $691.83 | Professional | None | $380.19 | $524.81 | $691.83 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $575.44 Median $794.33 Typical High $1,023.29 | Professional | 50 · Both sides | $575.44 | $794.33 | $1,023.29 |
BCBS Kansas City Setting Professional Modifier None Typical Low $309.03 Median $346.74 Typical High $478.63 | Professional | None | $309.03 | $346.74 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $2,187.76 Typical High $3,311.31 | Facility | None | $758.58 | $2,187.76 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $457.09 Typical High $812.83 | Professional | None | $338.84 | $457.09 | $812.83 |
Medica Setting Facility Modifier None Typical Low $691.83 Median $2,754.23 Typical High $26,302.68 | Facility | None | $691.83 | $2,754.23 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $407.38 Median $741.31 Typical High $3,981.07 | Professional | None | $407.38 | $741.31 | $3,981.07 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $2,818.38 Typical High $5,495.41 | Facility | None | $1,000.00 | $2,818.38 | $5,495.41 |
United Setting Professional Modifier None Typical Low $380.19 Median $524.81 Typical High $776.25 | Professional | None | $380.19 | $524.81 | $776.25 |
3 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 54 · Surgery only Typical Low $245.47 Median $269.15 Typical High $288.40 | Professional | 54 · Surgery only | $245.47 | $269.15 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $54.95 Typical High $57.54 | Professional | 55 · Aftercare only | $50.12 | $54.95 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $36.31 Typical High $38.90 | Professional | 56 · Pre-op care only | $33.11 | $36.31 | $38.90 |
Where Missouri sits
The same service costs 6.7 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 $7,024MT $1,050
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.