How much rates vary
Facilitymedian $759 · 10th to 90th $191 to $3,981Professionalmedian $275 · 10th to 90th $170 to $407
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 $190.55 Median $190.55 Typical High $8,511.38 | Facility | None | $190.55 | $190.55 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $190.55 Typical High $281.84 | Professional | None | $186.21 | $190.55 | $281.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $758.58 Median $5,011.87 Typical High $11,220.18 | Facility | None | $758.58 | $5,011.87 | $11,220.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $165.96 Median $263.03 Typical High $389.05 | Professional | None | $165.96 | $263.03 | $389.05 |
CareSource Setting Facility Modifier None Typical Low $177.83 Median $302.00 Typical High $1,479.11 | Facility | None | $177.83 | $302.00 | $1,479.11 |
CareSource Setting Professional Modifier None Typical Low $186.21 Median $263.03 Typical High $309.03 | Professional | None | $186.21 | $263.03 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $794.33 Typical High $1,023.29 | Facility | None | $34.67 | $794.33 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $363.08 Typical High $1,621.81 | Professional | None | $190.55 | $363.08 | $1,621.81 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $457.09 Median $794.33 Typical High $2,454.71 | Facility | None | $457.09 | $794.33 | $2,454.71 |
United Setting Professional Modifier None Typical Low $213.80 Median $354.81 Typical High $426.58 | Professional | None | $213.80 | $354.81 | $426.58 |
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 $95.50 Typical High $102.33 | Professional | 52 · Reduced service | $93.33 | $95.50 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $38.02 Typical High $41.69 | Professional | 53 · Discontinued | $37.15 | $38.02 | $41.69 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $141.25 Median $144.54 Typical High $154.88 | Professional | 54 · Surgery only | $141.25 | $144.54 | $154.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $28.84 Typical High $30.90 | Professional | 55 · Aftercare only | $28.18 | $28.84 | $30.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $19.05 Typical High $20.42 | Professional | 56 · Pre-op care only | $18.62 | $19.05 | $20.42 |
Where Kentucky sits
The same service costs 7.6 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 $4,681MT $618
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.