How much rates vary
Facilitymedian $1,660 · 10th to 90th $631 to $4,365Professionalmedian $355 · 10th to 90th $295 to $513
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 $371.54 Median $1,348.96 Typical High $5,623.41 | Facility | None | $371.54 | $1,348.96 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $302.00 Typical High $331.13 | Professional | None | $288.40 | $302.00 | $331.13 |
BCBS Setting Facility Modifier None Typical Low $1,348.96 Median $1,995.26 Typical High $3,548.13 | Facility | None | $1,348.96 | $1,995.26 | $3,548.13 |
BCBS Setting Professional Modifier None Typical Low $309.03 Median $371.54 Typical High $436.52 | Professional | None | $309.03 | $371.54 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,621.81 Typical High $2,041.74 | Facility | None | $645.65 | $1,621.81 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $371.54 Typical High $478.63 | Professional | None | $316.23 | $371.54 | $478.63 |
Hally Health Setting Professional Modifier None Typical Low $309.03 Median $436.52 Typical High $1,659.59 | Professional | None | $309.03 | $436.52 | $1,659.59 |
Hally Health Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Hally Health Setting Professional Modifier None Typical Low $346.74 Median $371.54 Typical High $398.11 | Professional | None | $346.74 | $371.54 | $398.11 |
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 $676.08 Median $1,513.56 Typical High $4,365.16 | Facility | None | $676.08 | $1,513.56 | $4,365.16 |
United Setting Professional Modifier None Typical Low $309.03 Median $371.54 Typical High $588.84 | Professional | None | $309.03 | $371.54 | $588.84 |
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 $144.54 Median $151.36 Typical High $151.36 | Professional | 52 · Reduced service | $144.54 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $60.26 Typical High $60.26 | Professional | 53 · Discontinued | $57.54 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $223.87 Typical High $223.87 | Professional | 54 · Surgery only | $218.78 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $44.67 Typical High $44.67 | Professional | 55 · Aftercare only | $43.65 | $44.67 | $44.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $30.20 Typical High $30.20 | Professional | 56 · Pre-op care only | $28.84 | $30.20 | $30.20 |
Where Illinois sits
The same service costs 4.9 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 $4,621MT $935
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.