How much rates vary
Facilitymedian $1,622 · 10th to 90th $589 to $5,495Professionalmedian $339 · 10th to 90th $229 to $871
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 $398.11 Median $3,715.35 Typical High $6,309.57 | Facility | None | $398.11 | $3,715.35 | $6,309.57 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $323.59 Typical High $416.87 | Professional | None | $181.97 | $323.59 | $416.87 |
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 $229.09 Median $295.12 Typical High $602.56 | Professional | None | $229.09 | $295.12 | $602.56 |
BCBS Kansas City Setting Professional Modifier None Typical Low $186.21 Median $323.59 Typical High $446.68 | Professional | None | $186.21 | $323.59 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,288.25 Typical High $2,187.76 | Facility | None | $602.56 | $1,288.25 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $338.84 Typical High $616.60 | Professional | None | $208.93 | $338.84 | $616.60 |
Medica Setting Facility Modifier None Typical Low $407.38 Median $2,344.23 Typical High $16,218.10 | Facility | None | $407.38 | $2,344.23 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $380.19 Median $1,479.11 Typical High $2,630.27 | Professional | None | $380.19 | $1,479.11 | $2,630.27 |
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 $245.47 Median $389.05 Typical High $707.95 | Professional | None | $245.47 | $389.05 | $707.95 |
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 $158.49 Typical High $204.17 | Professional | 52 · Reduced service | $91.20 | $158.49 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $63.10 Typical High $81.28 | Professional | 53 · Discontinued | $36.31 | $63.10 | $81.28 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $138.04 Median $234.42 Typical High $302.00 | Professional | 54 · Surgery only | $138.04 | $234.42 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $47.86 Typical High $61.66 | Professional | 55 · Aftercare only | $27.54 | $47.86 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $31.62 Typical High $40.74 | Professional | 56 · Pre-op care only | $18.20 | $31.62 | $40.74 |
Where Missouri sits
The same service costs 7.9 times more in Oklahoma 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
OK $5,867MT $745
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.