How much rates vary
Facilitymedian $1,585 · 10th to 90th $427 to $5,623Professionalmedian $562 · 10th to 90th $380 to $1,023
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 $851.14 Median $3,162.28 Typical High $7,762.47 | Facility | None | $851.14 | $3,162.28 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $426.58 Typical High $1,174.90 | Professional | None | $338.84 | $426.58 | $1,174.90 |
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 $407.38 Median $575.44 Typical High $741.31 | Professional | None | $407.38 | $575.44 | $741.31 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $602.56 Median $870.96 Typical High $1,122.02 | Professional | 50 · Both sides | $602.56 | $870.96 | $1,122.02 |
BCBS Kansas City Setting Professional Modifier None Typical Low $331.13 Median $363.08 Typical High $512.86 | Professional | None | $331.13 | $363.08 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $2,137.96 Typical High $3,162.28 | Facility | None | $446.68 | $2,137.96 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $467.74 Typical High $851.14 | Professional | None | $371.54 | $467.74 | $851.14 |
Medica Setting Facility Modifier None Typical Low $407.38 Median $1,288.25 Typical High $12,022.64 | Facility | None | $407.38 | $1,288.25 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $457.09 Median $831.76 Typical High $2,754.23 | Professional | None | $457.09 | $831.76 | $2,754.23 |
United Setting Facility Modifier None Typical Low $398.11 Median $1,148.15 Typical High $2,398.83 | Facility | None | $398.11 | $1,148.15 | $2,398.83 |
United Setting Professional Modifier None Typical Low $389.05 Median $575.44 Typical High $977.24 | Professional | None | $389.05 | $575.44 | $977.24 |
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 $165.96 Median $208.93 Typical High $213.80 | Professional | 52 · Reduced service | $165.96 | $208.93 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $67.61 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $251.19 Median $316.23 Typical High $323.59 | Professional | 54 · Surgery only | $251.19 | $316.23 | $323.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $63.10 Typical High $64.57 | Professional | 55 · Aftercare only | $50.12 | $63.10 | $64.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $41.69 Typical High $42.66 | Professional | 56 · Pre-op care only | $33.88 | $41.69 | $42.66 |
Where Missouri sits
The same service costs 5.2 times more in Alaska 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
AK $4,868DE $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.