How much rates vary
Facilitymedian $1,349 · 10th to 90th $389 to $4,467Professionalmedian $178 · 10th to 90th $110 to $372
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 $1,148.15 Median $3,162.28 Typical High $7,762.47 | Facility | None | $1,148.15 | $3,162.28 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $109.65 Typical High $1,174.90 | Professional | None | $89.13 | $109.65 | $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 $112.20 Median $177.83 Typical High $234.42 | Professional | None | $112.20 | $177.83 | $234.42 |
BCBS Kansas City Setting Professional Modifier None Typical Low $104.71 Median $117.49 Typical High $162.18 | Professional | None | $104.71 | $117.49 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $501.19 Typical High $1,659.59 | Facility | None | $380.19 | $501.19 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $151.36 Typical High $257.04 | Professional | None | $109.65 | $151.36 | $257.04 |
Medica Setting Facility Modifier None Typical Low $338.84 Median $1,202.26 Typical High $12,022.64 | Facility | None | $338.84 | $1,202.26 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $141.25 Median $239.88 Typical High $912.01 | Professional | None | $141.25 | $239.88 | $912.01 |
United Setting Facility Modifier None Typical Low $398.11 Median $1,148.15 Typical High $2,238.72 | Facility | None | $398.11 | $1,148.15 | $2,238.72 |
United Setting Professional Modifier None Typical Low $123.03 Median $181.97 Typical High $288.40 | Professional | None | $123.03 | $181.97 | $288.40 |
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 $44.67 Median $54.95 Typical High $56.23 | Professional | 52 · Reduced service | $44.67 | $54.95 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $21.88 Typical High $22.39 | Professional | 53 · Discontinued | $17.78 | $21.88 | $22.39 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $66.07 Median $83.18 Typical High $85.11 | Professional | 54 · Surgery only | $66.07 | $83.18 | $85.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $16.60 Typical High $16.98 | Professional | 55 · Aftercare only | $13.49 | $16.60 | $16.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.91 Median $10.96 Typical High $11.22 | Professional | 56 · Pre-op care only | $8.91 | $10.96 | $11.22 |
Where Missouri sits
The same service costs 8.1 times more in New York 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
NY $2,852MT $352
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.