How much rates vary
Facilitymedian $1,445 · 10th to 90th $525 to $4,898Professionalmedian $417 · 10th to 90th $275 to $2,239
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 $2,951.21 Typical High $6,309.57 | Facility | None | $1,548.82 | $2,951.21 | $6,309.57 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $288.40 Typical High $338.84 | Professional | None | $257.04 | $288.40 | $338.84 |
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 $288.40 Median $371.54 Typical High $549.54 | Professional | None | $288.40 | $371.54 | $549.54 |
BCBS Kansas City Setting Professional Modifier None Typical Low $251.19 Median $281.84 Typical High $398.11 | Professional | None | $251.19 | $281.84 | $398.11 |
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 $263.03 Median $316.23 Typical High $602.56 | Professional | None | $263.03 | $316.23 | $602.56 |
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 $346.74 Median $2,238.72 Typical High $2,238.72 | Professional | None | $346.74 | $2,238.72 | $2,238.72 |
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 $269.15 Median $426.58 Typical High $676.08 | Professional | None | $269.15 | $426.58 | $676.08 |
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 $128.82 Median $138.04 Typical High $158.49 | Professional | 52 · Reduced service | $128.82 | $138.04 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $54.95 Typical High $63.10 | Professional | 53 · Discontinued | $51.29 | $54.95 | $63.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $194.98 Median $208.93 Typical High $234.42 | Professional | 54 · Surgery only | $194.98 | $208.93 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.90 Median $41.69 Typical High $46.77 | Professional | 55 · Aftercare only | $38.90 | $41.69 | $46.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.70 Median $27.54 Typical High $31.62 | Professional | 56 · Pre-op care only | $25.70 | $27.54 | $31.62 |
Where Missouri 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.