How much rates vary
Facilitymedian $1,698 · 10th to 90th $631 to $5,623Professionalmedian $692 · 10th to 90th $224 to $1,862
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 $288.40 Median $2,754.23 Typical High $6,309.57 | Facility | None | $288.40 | $2,754.23 | $6,309.57 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $724.44 Typical High $933.25 | Professional | None | $186.21 | $724.44 | $933.25 |
Ambetter Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $208.93 | Professional | None | $81.28 | $81.28 | $208.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $562.34 Median $1,348.96 Typical High $2,630.27 | Facility | None | $562.34 | $1,348.96 | $2,630.27 |
Anthem BCBS Setting Professional Modifier None Typical Low $223.87 Median $371.54 Typical High $1,318.26 | Professional | None | $223.87 | $371.54 | $1,318.26 |
BCBS Kansas City Setting Professional Modifier None Typical Low $186.21 Median $724.44 Typical High $1,000.00 | Professional | None | $186.21 | $724.44 | $1,000.00 |
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 $208.93 Median $501.19 Typical High $1,479.11 | Professional | None | $208.93 | $501.19 | $1,479.11 |
Medica Setting Facility Modifier None Typical Low $851.14 Median $2,691.53 Typical High $16,218.10 | Facility | None | $851.14 | $2,691.53 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $912.01 Median $2,884.03 Typical High $8,317.64 | Professional | None | $912.01 | $2,884.03 | $8,317.64 |
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 $234.42 Median $660.69 Typical High $1,659.59 | Professional | None | $234.42 | $660.69 | $1,659.59 |
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 $91.20 Median $229.09 Typical High $446.68 | Professional | 52 · Reduced service | $91.20 | $229.09 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $91.20 Typical High $177.83 | Professional | 53 · Discontinued | $37.15 | $91.20 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $138.04 Median $338.84 Typical High $676.08 | Professional | 54 · Surgery only | $138.04 | $338.84 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $67.61 Typical High $134.90 | Professional | 55 · Aftercare only | $27.54 | $67.61 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $45.71 Typical High $89.13 | Professional | 56 · Pre-op care only | $18.62 | $45.71 | $89.13 |
Where Missouri sits
The same service costs 3.8 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 $5,124MT $1,344
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.