How much rates vary
Facilitymedian $2,089 · 10th to 90th $513 to $6,310Professionalmedian $363 · 10th to 90th $245 to $1,175
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 $1,096.48 Median $3,715.35 Typical High $7,762.47 | Facility | None | $1,096.48 | $3,715.35 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $251.19 Typical High $776.25 | Professional | None | $229.09 | $251.19 | $776.25 |
Ambetter Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $338.84 | Professional | None | $281.84 | $281.84 | $338.84 |
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 $263.03 Median $407.38 Typical High $524.81 | Professional | None | $263.03 | $407.38 | $524.81 |
BCBS Kansas City Setting Professional Modifier None Typical Low $213.80 Median $239.88 Typical High $331.13 | Professional | None | $213.80 | $239.88 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $2,041.74 Typical High $2,454.71 | Facility | None | $602.56 | $2,041.74 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $331.13 Typical High $562.34 | Professional | None | $239.88 | $331.13 | $562.34 |
Medica Setting Facility Modifier None Typical Low $645.65 Median $2,754.23 Typical High $16,218.10 | Facility | None | $645.65 | $2,754.23 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $281.84 Median $512.86 Typical High $2,818.38 | Professional | None | $281.84 | $512.86 | $2,818.38 |
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 $263.03 Median $354.81 Typical High $537.03 | Professional | None | $263.03 | $354.81 | $537.03 |
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 $114.82 Median $125.89 Typical High $131.83 | Professional | 52 · Reduced service | $114.82 | $125.89 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $50.12 Typical High $53.70 | Professional | 53 · Discontinued | $45.71 | $50.12 | $53.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $169.82 Median $186.21 Typical High $199.53 | Professional | 54 · Surgery only | $169.82 | $186.21 | $199.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $38.02 Typical High $39.81 | Professional | 55 · Aftercare only | $33.88 | $38.02 | $39.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $25.12 Typical High $26.92 | Professional | 56 · Pre-op care only | $22.91 | $25.12 | $26.92 |
Where Missouri sits
The same service costs 8.5 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 $6,252MT $735
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.