How much rates vary
Facilitymedian $1,514 · 10th to 90th $525 to $5,888Professionalmedian $224 · 10th to 90th $170 to $813
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 $154.88 Median $169.82 Typical High $1,548.82 | Professional | None | $154.88 | $169.82 | $1,548.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $537.03 Median $1,348.96 Typical High $2,630.27 | Facility | None | $537.03 | $1,348.96 | $2,630.27 |
Anthem BCBS Setting Professional Modifier None Typical Low $181.97 Median $208.93 Typical High $354.81 | Professional | None | $181.97 | $208.93 | $354.81 |
BCBS Kansas City Setting Professional Modifier None Typical Low $158.49 Median $169.82 Typical High $239.88 | Professional | None | $158.49 | $169.82 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,174.90 Typical High $8,128.31 | Facility | None | $707.95 | $1,174.90 | $8,128.31 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $234.42 Typical High $416.87 | Professional | None | $162.18 | $234.42 | $416.87 |
Medica Setting Facility Modifier None Typical Low $446.68 Median $1,584.89 Typical High $16,218.10 | Facility | None | $446.68 | $1,584.89 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $194.98 Median $363.08 Typical High $1,548.82 | Professional | None | $194.98 | $363.08 | $1,548.82 |
United Setting Facility Modifier None Typical Low $562.34 Median $1,513.56 Typical High $6,760.83 | Facility | None | $562.34 | $1,513.56 | $6,760.83 |
United Setting Professional Modifier None Typical Low $186.21 Median $257.04 Typical High $363.08 | Professional | None | $186.21 | $257.04 | $363.08 |
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 $75.86 Median $85.11 Typical High $91.20 | Professional | 52 · Reduced service | $75.86 | $85.11 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $33.88 Typical High $36.31 | Professional | 53 · Discontinued | $30.90 | $33.88 | $36.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $114.82 Median $125.89 Typical High $138.04 | Professional | 54 · Surgery only | $114.82 | $125.89 | $138.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $25.12 Typical High $27.54 | Professional | 55 · Aftercare only | $22.91 | $25.12 | $27.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $16.98 Typical High $18.20 | Professional | 56 · Pre-op care only | $15.49 | $16.98 | $18.20 |
Where Missouri sits
The same service costs 9.2 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 $4,822MT $526
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.