How much rates vary
Facilitymedian $1,738 · 10th to 90th $646 to $5,623Professionalmedian $603 · 10th to 90th $200 to $1,820
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 $691.83 Median $3,715.35 Typical High $6,309.57 | Facility | None | $691.83 | $3,715.35 | $6,309.57 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $660.69 Typical High $870.96 | Professional | None | $158.49 | $660.69 | $870.96 |
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 $204.17 Median $371.54 Typical High $1,148.15 | Professional | None | $204.17 | $371.54 | $1,148.15 |
BCBS Kansas City Setting Professional Modifier None Typical Low $158.49 Median $691.83 Typical High $954.99 | Professional | None | $158.49 | $691.83 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $2,041.74 Typical High $2,511.89 | Facility | None | $602.56 | $2,041.74 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $457.09 Typical High $1,380.38 | Professional | None | $177.83 | $457.09 | $1,380.38 |
Medica Setting Facility Modifier None Typical Low $776.25 Median $2,398.83 Typical High $16,218.10 | Facility | None | $776.25 | $2,398.83 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $870.96 Median $2,754.23 Typical High $8,709.64 | Professional | None | $870.96 | $2,754.23 | $8,709.64 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $2,818.38 Typical High $5,495.41 | Facility | None | $1,000.00 | $2,818.38 | $5,495.41 |
United Setting Professional Modifier None Typical Low $229.09 Median $588.84 Typical High $1,584.89 | Professional | None | $229.09 | $588.84 | $1,584.89 |
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 $79.43 Median $194.98 Typical High $426.58 | Professional | 52 · Reduced service | $79.43 | $194.98 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $79.43 Typical High $169.82 | Professional | 53 · Discontinued | $31.62 | $79.43 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $120.23 Median $295.12 Typical High $645.65 | Professional | 54 · Surgery only | $120.23 | $295.12 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.99 Median $58.88 Typical High $128.82 | Professional | 55 · Aftercare only | $23.99 | $58.88 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $38.90 Typical High $85.11 | Professional | 56 · Pre-op care only | $15.85 | $38.90 | $85.11 |
Where Missouri sits
The same service costs 4.0 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 $5,041MT $1,267
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.