How much rates vary
Facilitymedian $1,072 · 10th to 90th $191 to $2,884Professionalmedian $209 · 10th to 90th $115 to $355
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 $114.82 Median $275.42 Typical High $851.14 | Facility | None | $114.82 | $275.42 | $851.14 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $275.42 Typical High $346.74 | Professional | None | $114.82 | $275.42 | $346.74 |
Ambetter Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $602.56 Median $1,778.28 Typical High $3,162.28 | Facility | None | $602.56 | $1,778.28 | $3,162.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $117.49 Median $199.53 Typical High $309.03 | Professional | None | $117.49 | $199.53 | $309.03 |
CareSource Setting Facility Modifier None Typical Low $107.15 Median $177.83 Typical High $1,071.52 | Facility | None | $107.15 | $177.83 | $1,071.52 |
CareSource Setting Professional Modifier None Typical Low $100.00 Median $138.04 Typical High $181.97 | Professional | None | $100.00 | $138.04 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $758.58 Typical High $1,318.26 | Facility | None | $190.55 | $758.58 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $269.15 Typical High $1,621.81 | Professional | None | $112.20 | $269.15 | $1,621.81 |
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 $141.25 Median $234.42 Typical High $426.58 | Professional | None | $141.25 | $234.42 | $426.58 |
11 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 Facility Modifier 52 · Reduced service Typical Low $57.54 Median $134.90 Typical High $173.78 | Facility | 52 · Reduced service | $57.54 | $134.90 | $173.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $22.91 Median $54.95 Typical High $69.18 | Facility | 53 · Discontinued | $22.91 | $54.95 | $69.18 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $87.10 Median $204.17 Typical High $257.04 | Facility | 54 · Surgery only | $87.10 | $204.17 | $257.04 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $17.38 Median $40.74 Typical High $51.29 | Facility | 55 · Aftercare only | $17.38 | $40.74 | $51.29 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $11.48 Median $27.54 Typical High $34.67 | Facility | 56 · Pre-op care only | $11.48 | $27.54 | $34.67 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $134.90 Typical High $173.78 | Professional | 52 · Reduced service | $57.54 | $134.90 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $54.95 Typical High $69.18 | Professional | 53 · Discontinued | $22.91 | $54.95 | $69.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $87.10 Median $204.17 Typical High $257.04 | Professional | 54 · Surgery only | $87.10 | $204.17 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $40.74 Typical High $51.29 | Professional | 55 · Aftercare only | $17.38 | $40.74 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $26.92 Typical High $34.67 | Professional | 56 · Pre-op care only | $11.48 | $26.92 | $34.67 |
Ambetter Setting Professional Modifier 51 · Multiple procedures Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | 51 · Multiple procedures | $74.13 | $74.13 | $74.13 |
Where Kentucky sits
The same service costs 6.9 times more in Colorado than in North Dakota. 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 $4,090ND $590
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.