How much rates vary
Facilitymedian $1,549 · 10th to 90th $468 to $4,898Professionalmedian $417 · 10th to 90th $282 to $1,349
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 $3,467.37 Typical High $6,309.57 | Facility | None | $1,548.82 | $3,467.37 | $6,309.57 |
Aetna Setting Professional Modifier None Typical Low $263.03 Median $295.12 Typical High $323.59 | Professional | None | $263.03 | $295.12 | $323.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $537.03 Median $1,348.96 Typical High $2,630.27 | Facility | None | $537.03 | $1,348.96 | $2,630.27 |
Anthem BCBS Setting Professional Modifier None Typical Low $309.03 Median $416.87 Typical High $524.81 | Professional | None | $309.03 | $416.87 | $524.81 |
BCBS Kansas City Setting Professional Modifier None Typical Low $257.04 Median $281.84 Typical High $407.38 | Professional | None | $257.04 | $281.84 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $3,311.31 Typical High $6,165.95 | Facility | None | $851.14 | $3,311.31 | $6,165.95 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $316.23 Typical High $588.84 | Professional | None | $269.15 | $316.23 | $588.84 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,174.90 Typical High $17,782.79 | Facility | None | $54.95 | $1,174.90 | $17,782.79 |
Medica Setting Professional Modifier None Typical Low $354.81 Median $676.08 Typical High $2,137.96 | Professional | None | $354.81 | $676.08 | $2,137.96 |
United Setting Facility Modifier None Typical Low $562.34 Median $1,548.82 Typical High $3,235.94 | Facility | None | $562.34 | $1,548.82 | $3,235.94 |
United Setting Professional Modifier None Typical Low $269.15 Median $478.63 Typical High $691.83 | Professional | None | $269.15 | $478.63 | $691.83 |
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 $131.83 Median $144.54 Typical High $162.18 | Professional | 52 · Reduced service | $131.83 | $144.54 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $57.54 Typical High $64.57 | Professional | 53 · Discontinued | $52.48 | $57.54 | $64.57 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $199.53 Median $213.80 Typical High $239.88 | Professional | 54 · Surgery only | $199.53 | $213.80 | $239.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $42.66 Typical High $47.86 | Professional | 55 · Aftercare only | $39.81 | $42.66 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.30 Median $28.84 Typical High $32.36 | Professional | 56 · Pre-op care only | $26.30 | $28.84 | $32.36 |
Where Missouri sits
The same service costs 7.8 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 $7,005MT $893
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.