How much rates vary
Facilitymedian $832 · 10th to 90th $138 to $4,677Professionalmedian $229 · 10th to 90th $151 to $550
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 $251.19 Median $3,162.28 Typical High $6,309.57 | Facility | None | $251.19 | $3,162.28 | $6,309.57 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $223.87 Typical High $275.42 | Professional | None | $134.90 | $223.87 | $275.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $151.36 Median $1,621.81 Typical High $3,890.45 | Facility | None | $151.36 | $1,621.81 | $3,890.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $154.88 Median $229.09 Typical High $407.38 | Professional | None | $154.88 | $229.09 | $407.38 |
BCBS Kansas City Setting Professional Modifier None Typical Low $134.90 Median $245.47 Typical High $338.84 | Professional | None | $134.90 | $245.47 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $204.17 Typical High $1,659.59 | Facility | None | $134.90 | $204.17 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $229.09 Typical High $426.58 | Professional | None | $141.25 | $229.09 | $426.58 |
Medica Setting Facility Modifier None Typical Low $134.90 Median $630.96 Typical High $12,022.64 | Facility | None | $134.90 | $630.96 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $239.88 Median $1,122.02 Typical High $1,659.59 | Professional | None | $239.88 | $1,122.02 | $1,659.59 |
United Setting Facility Modifier None Typical Low $123.03 Median $602.56 Typical High $2,137.96 | Facility | None | $123.03 | $602.56 | $2,137.96 |
United Setting Professional Modifier None Typical Low $154.88 Median $251.19 Typical High $512.86 | Professional | None | $154.88 | $251.19 | $512.86 |
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 $67.61 Median $109.65 Typical High $138.04 | Professional | 52 · Reduced service | $67.61 | $109.65 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $44.67 Typical High $54.95 | Professional | 53 · Discontinued | $26.92 | $44.67 | $54.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $102.33 Median $165.96 Typical High $204.17 | Professional | 54 · Surgery only | $102.33 | $165.96 | $204.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $33.11 Typical High $41.69 | Professional | 55 · Aftercare only | $20.42 | $33.11 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.49 Median $21.88 Typical High $27.54 | Professional | 56 · Pre-op care only | $13.49 | $21.88 | $27.54 |
Where Missouri sits
The same service costs 8.8 times more in New York than in Alabama. 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
NY $2,761AL $314
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.