How much rates vary
Facilitymedian $1,778 · 10th to 90th $427 to $5,888Professionalmedian $562 · 10th to 90th $200 to $1,738
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 $616.60 Median $5,623.41 Typical High $9,549.93 | Facility | None | $616.60 | $5,623.41 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $616.60 Typical High $724.44 | Professional | None | $186.21 | $616.60 | $724.44 |
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 $199.53 Median $323.59 Typical High $870.96 | Professional | None | $199.53 | $323.59 | $870.96 |
BCBS Kansas City Setting Professional Modifier None Typical Low $165.96 Median $562.34 Typical High $741.31 | Professional | None | $165.96 | $562.34 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $588.84 Typical High $1,659.59 | Facility | None | $407.38 | $588.84 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $446.68 Typical High $1,202.26 | Professional | None | $173.78 | $446.68 | $1,202.26 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,698.24 Typical High $6,309.57 | Facility | None | $54.95 | $1,698.24 | $6,309.57 |
Medica Setting Professional Modifier None Typical Low $812.83 Median $3,467.37 Typical High $5,011.87 | Professional | None | $812.83 | $3,467.37 | $5,011.87 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $3,467.37 Typical High $6,760.83 | Facility | None | $1,000.00 | $3,467.37 | $6,760.83 |
United Setting Professional Modifier None Typical Low $257.04 Median $645.65 Typical High $1,445.44 | Professional | None | $257.04 | $645.65 | $1,445.44 |
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 $93.33 Median $154.88 Typical High $363.08 | Professional | 52 · Reduced service | $93.33 | $154.88 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $61.66 Typical High $144.54 | Professional | 53 · Discontinued | $37.15 | $61.66 | $144.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $141.25 Median $234.42 Typical High $537.03 | Professional | 54 · Surgery only | $141.25 | $234.42 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $46.77 Typical High $107.15 | Professional | 55 · Aftercare only | $28.18 | $46.77 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $30.90 Typical High $72.44 | Professional | 56 · Pre-op care only | $18.62 | $30.90 | $72.44 |
Where Missouri sits
The same service costs 6.9 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 $7,377MT $1,063
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.