How much rates vary
Facilitymedian $1,445 · 10th to 90th $417 to $3,981Professionalmedian $309 · 10th to 90th $240 to $447
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 $269.15 Median $346.74 Typical High $5,248.07 | Facility | None | $269.15 | $346.74 | $5,248.07 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $281.84 Typical High $346.74 | Professional | None | $269.15 | $281.84 | $346.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $724.44 Median $1,995.26 Typical High $4,265.80 | Facility | None | $724.44 | $1,995.26 | $4,265.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $239.88 Median $309.03 Typical High $446.68 | Professional | None | $239.88 | $309.03 | $446.68 |
CareSource Setting Facility Modifier None Typical Low $218.78 Median $416.87 Typical High $1,445.44 | Facility | None | $218.78 | $416.87 | $1,445.44 |
CareSource Setting Professional Modifier None Typical Low $229.09 Median $323.59 Typical High $416.87 | Professional | None | $229.09 | $323.59 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $1,023.29 Typical High $1,659.59 | Facility | None | $446.68 | $1,023.29 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $338.84 Typical High $1,819.70 | Professional | None | $263.03 | $338.84 | $1,819.70 |
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 $457.09 Median $794.33 Typical High $2,454.71 | Facility | None | $457.09 | $794.33 | $2,454.71 |
United Setting Professional Modifier None Typical Low $263.03 Median $389.05 Typical High $489.78 | Professional | None | $263.03 | $389.05 | $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 $134.90 Median $138.04 Typical High $173.78 | Professional | 52 · Reduced service | $134.90 | $138.04 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $54.95 Typical High $69.18 | Professional | 53 · Discontinued | $54.95 | $54.95 | $69.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $208.93 Typical High $257.04 | Professional | 54 · Surgery only | $204.17 | $208.93 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $41.69 Typical High $51.29 | Professional | 55 · Aftercare only | $40.74 | $41.69 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $27.54 Typical High $34.67 | Professional | 56 · Pre-op care only | $26.92 | $27.54 | $34.67 |
Where Kentucky sits
The same service costs 5.2 times more in Oklahoma 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
OK $4,508MT $873
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.