How much rates vary
Facilitymedian $1,288 · 10th to 90th $224 to $10,471Professionalmedian $158 · 10th to 90th $117 to $275
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 $141.25 Median $229.09 Typical High $8,511.38 | Facility | None | $141.25 | $229.09 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $223.87 Typical High $245.47 | Professional | None | $208.93 | $223.87 | $245.47 |
Anthem BCBS Setting Facility Modifier None Typical Low $758.58 Median $9,549.93 Typical High $11,220.18 | Facility | None | $758.58 | $9,549.93 | $11,220.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $117.49 Median $138.04 Typical High $208.93 | Professional | None | $117.49 | $138.04 | $208.93 |
CareSource Setting Facility Modifier None Typical Low $186.21 Median $223.87 Typical High $354.81 | Facility | None | $186.21 | $223.87 | $354.81 |
CareSource Setting Professional Modifier None Typical Low $199.53 Median $309.03 Typical High $363.08 | Professional | None | $199.53 | $309.03 | $363.08 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $309.03 Typical High $316.23 | Professional | None | $269.15 | $309.03 | $316.23 |
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 $831.76 Median $2,089.30 Typical High $6,760.83 | Facility | None | $831.76 | $2,089.30 | $6,760.83 |
United Setting Professional Modifier None Typical Low $120.23 Median $165.96 Typical High $416.87 | Professional | None | $120.23 | $165.96 | $416.87 |
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 $102.33 Median $112.20 Typical High $120.23 | Professional | 52 · Reduced service | $102.33 | $112.20 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $44.67 Typical High $48.98 | Professional | 53 · Discontinued | $41.69 | $44.67 | $48.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $154.88 Median $165.96 Typical High $181.97 | Professional | 54 · Surgery only | $154.88 | $165.96 | $181.97 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $33.11 Typical High $36.31 | Professional | 55 · Aftercare only | $30.90 | $33.11 | $36.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $22.39 Typical High $24.55 | Professional | 56 · Pre-op care only | $20.89 | $22.39 | $24.55 |
Where Kentucky sits
The same service costs 88.6 times more in Wyoming 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
WY $59,374MT $670
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.