How much rates vary
Facilitymedian $1,660 · 10th to 90th $468 to $6,457Professionalmedian $537 · 10th to 90th $380 to $1,047
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 $467.74 Median $3,162.28 Typical High $6,309.57 | Facility | None | $467.74 | $3,162.28 | $6,309.57 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $398.11 Typical High $501.19 | Professional | None | $309.03 | $398.11 | $501.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $446.68 Median $1,621.81 Typical High $3,890.45 | Facility | None | $446.68 | $1,621.81 | $3,890.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $389.05 Median $501.19 Typical High $741.31 | Professional | None | $389.05 | $501.19 | $741.31 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $575.44 Median $741.31 Typical High $1,122.02 | Professional | 50 · Both sides | $575.44 | $741.31 | $1,122.02 |
BCBS Kansas City Setting Professional Modifier None Typical Low $316.23 Median $436.52 Typical High $575.44 | Professional | None | $316.23 | $436.52 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $4,897.79 Typical High $7,244.36 | Facility | None | $446.68 | $4,897.79 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $467.74 Typical High $891.25 | Professional | None | $346.74 | $467.74 | $891.25 |
Medica Setting Facility Modifier None Typical Low $524.81 Median $1,548.82 Typical High $12,022.64 | Facility | None | $524.81 | $1,548.82 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $537.03 Median $2,511.89 Typical High $5,888.44 | Professional | None | $537.03 | $2,511.89 | $5,888.44 |
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 $416.87 Median $602.56 Typical High $912.01 | Professional | None | $416.87 | $602.56 | $912.01 |
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 $154.88 Median $199.53 Typical High $245.47 | Professional | 52 · Reduced service | $154.88 | $199.53 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $79.43 Typical High $97.72 | Professional | 53 · Discontinued | $61.66 | $79.43 | $97.72 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $234.42 Median $295.12 Typical High $363.08 | Professional | 54 · Surgery only | $234.42 | $295.12 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $58.88 Typical High $72.44 | Professional | 55 · Aftercare only | $46.77 | $58.88 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $39.81 Typical High $48.98 | Professional | 56 · Pre-op care only | $30.90 | $39.81 | $48.98 |
Where Missouri sits
The same service costs 9.3 times more in Wyoming than in Delaware. 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 $10,585DE $1,135
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.