How much rates vary
Facilitymedian $1,479 · 10th to 90th $355 to $5,623Professionalmedian $355 · 10th to 90th $257 to $661
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 $281.84 Median $4,897.79 Typical High $7,762.47 | Facility | None | $281.84 | $4,897.79 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $281.84 Typical High $616.60 | Professional | None | $245.47 | $281.84 | $616.60 |
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 $354.81 Typical High $446.68 | Professional | None | $263.03 | $354.81 | $446.68 |
BCBS Kansas City Setting Professional Modifier None Typical Low $218.78 Median $239.88 Typical High $316.23 | Professional | None | $218.78 | $239.88 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $691.83 Typical High $2,691.53 | Facility | None | $489.78 | $691.83 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $309.03 Typical High $676.08 | Professional | None | $223.87 | $309.03 | $676.08 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,122.02 Typical High $7,585.78 | Facility | None | $54.95 | $1,122.02 | $7,585.78 |
Medica Setting Professional Modifier None Typical Low $331.13 Median $575.44 Typical High $1,659.59 | Professional | None | $331.13 | $575.44 | $1,659.59 |
United Setting Facility Modifier None Typical Low $467.74 Median $2,290.87 Typical High $10,964.78 | Facility | None | $467.74 | $2,290.87 | $10,964.78 |
United Setting Professional Modifier None Typical Low $263.03 Median $407.38 Typical High $707.95 | Professional | None | $263.03 | $407.38 | $707.95 |
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 $123.03 Median $141.25 Typical High $151.36 | Professional | 52 · Reduced service | $123.03 | $141.25 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $56.23 Typical High $60.26 | Professional | 53 · Discontinued | $48.98 | $56.23 | $60.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $181.97 Median $213.80 Typical High $229.09 | Professional | 54 · Surgery only | $181.97 | $213.80 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $42.66 Typical High $45.71 | Professional | 55 · Aftercare only | $36.31 | $42.66 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $28.18 Typical High $30.20 | Professional | 56 · Pre-op care only | $24.55 | $28.18 | $30.20 |
Where Missouri sits
The same service costs 7.3 times more in Alaska 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
AK $5,199MT $710
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.