How much rates vary
Facilitymedian $1,514 · 10th to 90th $427 to $4,898Professionalmedian $324 · 10th to 90th $191 to $1,230
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 $2,089.30 Median $5,623.41 Typical High $8,709.64 | Facility | None | $2,089.30 | $5,623.41 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $190.55 Typical High $2,511.89 | Professional | None | $181.97 | $190.55 | $2,511.89 |
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 $218.78 Median $354.81 Typical High $478.63 | Professional | None | $218.78 | $354.81 | $478.63 |
BCBS Setting Professional Modifier None Typical Low $177.83 Median $194.98 Typical High $275.42 | Professional | None | $177.83 | $194.98 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,096.48 Typical High $2,691.53 | Facility | None | $707.95 | $1,096.48 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $281.84 Typical High $467.74 | Professional | None | $199.53 | $281.84 | $467.74 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,122.02 Typical High $5,011.87 | Facility | None | $54.95 | $1,122.02 | $5,011.87 |
Medica Setting Professional Modifier None Typical Low $181.97 Median $457.09 Typical High $4,073.80 | Professional | None | $181.97 | $457.09 | $4,073.80 |
United Setting Facility Modifier None Typical Low $562.34 Median $1,513.56 Typical High $3,235.94 | Facility | None | $562.34 | $1,513.56 | $3,235.94 |
United Setting Professional Modifier None Typical Low $173.78 Median $275.42 Typical High $478.63 | Professional | None | $173.78 | $275.42 | $478.63 |
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 $91.20 Median $95.50 Typical High $102.33 | Professional | 52 · Reduced service | $91.20 | $95.50 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $38.02 Typical High $41.69 | Professional | 53 · Discontinued | $36.31 | $38.02 | $41.69 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $144.54 Typical High $154.88 | Professional | 54 · Surgery only | $134.90 | $144.54 | $154.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $28.84 Typical High $30.90 | Professional | 55 · Aftercare only | $26.92 | $28.84 | $30.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $19.05 Typical High $20.42 | Professional | 56 · Pre-op care only | $18.20 | $19.05 | $20.42 |
Where Missouri 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.