How much rates vary
Facilitymedian $1,445 · 10th to 90th $490 to $6,457Professionalmedian $437 · 10th to 90th $355 to $1,622
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 $407.38 Median $4,897.79 Typical High $8,511.38 | Facility | None | $407.38 | $4,897.79 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $389.05 Typical High $562.34 | Professional | None | $338.84 | $389.05 | $562.34 |
Ambetter Setting Professional Modifier None Typical Low $295.12 Median $501.19 Typical High $501.19 | Professional | None | $295.12 | $501.19 | $501.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $537.03 Median $1,348.96 Typical High $4,677.35 | Facility | None | $537.03 | $1,348.96 | $4,677.35 |
Anthem BCBS Setting Professional Modifier None Typical Low $346.74 Median $426.58 Typical High $616.60 | Professional | None | $346.74 | $426.58 | $616.60 |
BCBS Kansas City Setting Professional Modifier None Typical Low $338.84 Median $371.54 Typical High $524.81 | Professional | None | $338.84 | $371.54 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $1,318.26 Typical High $9,549.93 | Facility | None | $794.33 | $1,318.26 | $9,549.93 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $416.87 Typical High $794.33 | Professional | None | $354.81 | $416.87 | $794.33 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,288.25 Typical High $6,025.60 | Facility | None | $54.95 | $1,288.25 | $6,025.60 |
Medica Setting Professional Modifier None Typical Low $457.09 Median $891.25 Typical High $2,754.23 | Professional | None | $457.09 | $891.25 | $2,754.23 |
United Setting Facility Modifier None Typical Low $562.34 Median $1,513.56 Typical High $3,388.44 | Facility | None | $562.34 | $1,513.56 | $3,388.44 |
United Setting Professional Modifier None Typical Low $354.81 Median $537.03 Typical High $891.25 | Professional | None | $354.81 | $537.03 | $891.25 |
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 $169.82 Median $181.97 Typical High $208.93 | Professional | 52 · Reduced service | $169.82 | $181.97 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $72.44 Typical High $83.18 | Professional | 53 · Discontinued | $67.61 | $72.44 | $83.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $269.15 Typical High $309.03 | Professional | 54 · Surgery only | $257.04 | $269.15 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $54.95 Typical High $61.66 | Professional | 55 · Aftercare only | $51.29 | $54.95 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $36.31 Typical High $41.69 | Professional | 56 · Pre-op care only | $33.88 | $36.31 | $41.69 |
Where Missouri sits
The same service costs 5.0 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 $5,749MT $1,151
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.