How much rates vary
Facilitymedian $1,445 · 10th to 90th $513 to $4,898Professionalmedian $269 · 10th to 90th $178 to $2,455
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 $165.96 Median $181.97 Typical High $199.53 | Professional | None | $165.96 | $181.97 | $199.53 |
Anthem BCBS Setting Facility Modifier None Typical Low $512.86 Median $1,230.27 Typical High $2,511.89 | Facility | None | $512.86 | $1,230.27 | $2,511.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $186.21 Median $239.88 Typical High $467.74 | Professional | None | $186.21 | $239.88 | $467.74 |
BCBS Kansas City Setting Professional Modifier None Typical Low $165.96 Median $181.97 Typical High $257.04 | Professional | None | $165.96 | $181.97 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,148.15 Typical High $2,187.76 | Facility | None | $602.56 | $1,148.15 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $199.53 Typical High $389.05 | Professional | None | $169.82 | $199.53 | $389.05 |
Medica Setting Facility Modifier None Typical Low $446.68 Median $1,584.89 Typical High $16,218.10 | Facility | None | $446.68 | $1,584.89 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $218.78 Median $2,454.71 Typical High $2,454.71 | Professional | None | $218.78 | $2,454.71 | $2,454.71 |
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 $169.82 Median $275.42 Typical High $436.52 | Professional | None | $169.82 | $275.42 | $436.52 |
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 $83.18 Median $89.13 Typical High $100.00 | Professional | 52 · Reduced service | $83.18 | $89.13 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $35.48 Typical High $39.81 | Professional | 53 · Discontinued | $33.11 | $35.48 | $39.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $123.03 Median $131.83 Typical High $151.36 | Professional | 54 · Surgery only | $123.03 | $131.83 | $151.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $26.30 Typical High $30.20 | Professional | 55 · Aftercare only | $24.55 | $26.30 | $30.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $17.78 Typical High $19.95 | Professional | 56 · Pre-op care only | $16.60 | $17.78 | $19.95 |
Where Missouri sits
The same service costs 7.3 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 $4,136MT $564
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.