How much rates vary
Facilitymedian $2,570 · 10th to 90th $417 to $8,318Professionalmedian $347 · 10th to 90th $263 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 $275.42 Median $346.74 Typical High $2,630.27 | Facility | None | $275.42 | $346.74 | $2,630.27 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $346.74 | Professional | None | $275.42 | $275.42 | $346.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $954.99 Median $2,884.03 Typical High $8,511.38 | Facility | None | $954.99 | $2,884.03 | $8,511.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $263.03 Median $346.74 Typical High $512.86 | Professional | None | $263.03 | $346.74 | $512.86 |
CareSource Setting Facility Modifier None Typical Low $251.19 Median $416.87 Typical High $5,370.32 | Facility | None | $251.19 | $416.87 | $5,370.32 |
CareSource Setting Professional Modifier None Typical Low $263.03 Median $323.59 Typical High $416.87 | Professional | None | $263.03 | $323.59 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $1,862.09 Typical High $3,981.07 | Facility | None | $457.09 | $1,862.09 | $3,981.07 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $380.19 Typical High $2,137.96 | Professional | None | $263.03 | $380.19 | $2,137.96 |
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 $977.24 Median $1,862.09 Typical High $7,943.28 | Facility | None | $977.24 | $1,862.09 | $7,943.28 |
United Setting Professional Modifier None Typical Low $263.03 Median $416.87 Typical High $512.86 | Professional | None | $263.03 | $416.87 | $512.86 |
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 $138.04 Median $138.04 Typical High $173.78 | Professional | 52 · Reduced service | $138.04 | $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 $204.17 Typical High $257.04 | Professional | 54 · Surgery only | $204.17 | $204.17 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $40.74 Typical High $52.48 | Professional | 55 · Aftercare only | $40.74 | $40.74 | $52.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $27.54 Typical High $34.67 | Professional | 56 · Pre-op care only | $27.54 | $27.54 | $34.67 |
Where Kentucky sits
The same service costs 10.4 times more in Wyoming 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
WY $8,979MT $863
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.