How much rates vary
Facilitymedian $1,514 · 10th to 90th $550 to $4,898Professionalmedian $389 · 10th to 90th $191 to $1,698
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 $1,548.82 Median $3,235.94 Typical High $6,309.57 | Facility | None | $1,548.82 | $3,235.94 | $6,309.57 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $204.17 Typical High $239.88 | Professional | None | $177.83 | $204.17 | $239.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $524.81 Median $1,348.96 Typical High $2,630.27 | Facility | None | $524.81 | $1,348.96 | $2,630.27 |
Anthem BCBS Setting Professional Modifier None Typical Low $223.87 Median $389.05 Typical High $478.63 | Professional | None | $223.87 | $389.05 | $478.63 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $141.25 Median $245.47 Typical High $302.00 | Professional | 62 · Two surgeons | $141.25 | $245.47 | $302.00 |
BCBS Kansas City Setting Professional Modifier None Typical Low $181.97 Median $199.53 Typical High $338.84 | Professional | None | $181.97 | $199.53 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,230.27 Typical High $2,630.27 | Facility | None | $707.95 | $1,230.27 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $251.19 Typical High $512.86 | Professional | None | $186.21 | $251.19 | $512.86 |
Medica Setting Facility Modifier None Typical Low $446.68 Median $1,548.82 Typical High $16,218.10 | Facility | None | $446.68 | $1,548.82 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $257.04 Median $1,698.24 Typical High $2,137.96 | Professional | None | $257.04 | $1,698.24 | $2,137.96 |
United Setting Facility Modifier None Typical Low $562.34 Median $1,548.82 Typical High $3,235.94 | Facility | None | $562.34 | $1,548.82 | $3,235.94 |
United Setting Professional Modifier None Typical Low $186.21 Median $363.08 Typical High $489.78 | Professional | None | $186.21 | $363.08 | $489.78 |
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 $89.13 Median $97.72 Typical High $109.65 | Professional | 52 · Reduced service | $89.13 | $97.72 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $38.90 Typical High $43.65 | Professional | 53 · Discontinued | $36.31 | $38.90 | $43.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $147.91 Typical High $162.18 | Professional | 54 · Surgery only | $134.90 | $147.91 | $162.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $29.51 Typical High $33.11 | Professional | 55 · Aftercare only | $26.92 | $29.51 | $33.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $19.50 Typical High $21.88 | Professional | 56 · Pre-op care only | $17.78 | $19.50 | $21.88 |
Where Missouri sits
The same service costs 6.8 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 $4,179MT $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.