How much rates vary
Facilitymedian $6,457 · 10th to 90th $1,202 to $19,953Professionalmedian $5,623 · 10th to 90th $525 to $12,023
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 $2,511.89 Median $5,754.40 Typical High $13,803.84 | Facility | None | $2,511.89 | $5,754.40 | $13,803.84 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $4,897.79 Typical High $6,606.93 | Professional | None | $524.81 | $4,897.79 | $6,606.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,348.96 Median $4,265.80 Typical High $13,489.63 | Facility | None | $1,348.96 | $4,265.80 | $13,489.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $501.19 Median $2,137.96 Typical High $8,511.38 | Professional | None | $501.19 | $2,137.96 | $8,511.38 |
BCBS Kansas City Setting Professional Modifier None Typical Low $467.74 Median $5,623.41 Typical High $7,762.47 | Professional | None | $467.74 | $5,623.41 | $7,762.47 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $16,218.10 Typical High $24,547.09 | Facility | None | $741.31 | $16,218.10 | $24,547.09 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $1,258.93 Typical High $11,220.18 | Professional | None | $489.78 | $1,258.93 | $11,220.18 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $5,623.41 Typical High $26,302.68 | Facility | None | $54.95 | $5,623.41 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $8,511.38 Median $13,803.84 Typical High $19,498.45 | Professional | None | $8,511.38 | $13,803.84 | $19,498.45 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $7,244.36 Typical High $35,481.34 | Facility | None | $1,445.44 | $7,244.36 | $35,481.34 |
United Setting Professional Modifier None Typical Low $707.95 Median $4,897.79 Typical High $14,454.40 | Professional | None | $707.95 | $4,897.79 | $14,454.40 |
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 $263.03 Median $426.58 Typical High $3,235.94 | Professional | 52 · Reduced service | $263.03 | $426.58 | $3,235.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $173.78 Typical High $1,288.25 | Professional | 53 · Discontinued | $104.71 | $173.78 | $1,288.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $645.65 Typical High $4,897.79 | Professional | 54 · Surgery only | $398.11 | $645.65 | $4,897.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $128.82 Typical High $977.24 | Professional | 55 · Aftercare only | $79.43 | $128.82 | $977.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $87.10 Typical High $645.65 | Professional | 56 · Pre-op care only | $52.48 | $87.10 | $645.65 |
Where Missouri sits
The same service costs 6.1 times more in Alaska than in Vermont. 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 $33,081VT $5,424
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.