How much rates vary
Facilitymedian $4,266 · 10th to 90th $1,000 to $11,482Professionalmedian $794 · 10th to 90th $575 to $1,995
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 $2,041.74 Median $5,623.41 Typical High $11,748.98 | Facility | None | $2,041.74 | $5,623.41 | $11,748.98 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $575.44 Typical High $2,511.89 | Professional | None | $478.63 | $575.44 | $2,511.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,318.26 Median $3,467.37 Typical High $7,079.46 | Facility | None | $1,318.26 | $3,467.37 | $7,079.46 |
Anthem BCBS Setting Professional Modifier None Typical Low $588.84 Median $794.33 Typical High $1,047.13 | Professional | None | $588.84 | $794.33 | $1,047.13 |
BCBS Kansas City Setting Professional Modifier None Typical Low $524.81 Median $588.84 Typical High $812.83 | Professional | None | $524.81 | $588.84 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $7,244.36 Typical High $10,715.19 | Facility | None | $707.95 | $7,244.36 | $10,715.19 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $660.69 Typical High $1,258.93 | Professional | None | $602.56 | $660.69 | $1,258.93 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $4,466.84 Typical High $34,673.69 | Facility | None | $54.95 | $4,466.84 | $34,673.69 |
Medica Setting Professional Modifier None Typical Low $691.83 Median $1,318.26 Typical High $4,073.80 | Professional | None | $691.83 | $1,318.26 | $4,073.80 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $5,248.07 Typical High $19,054.61 | Facility | None | $1,174.90 | $5,248.07 | $19,054.61 |
United Setting Professional Modifier None Typical Low $645.65 Median $870.96 Typical High $1,548.82 | Professional | None | $645.65 | $870.96 | $1,548.82 |
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 $239.88 Median $288.40 Typical High $295.12 | Professional | 52 · Reduced service | $239.88 | $288.40 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $114.82 Typical High $117.49 | Professional | 53 · Discontinued | $95.50 | $114.82 | $117.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $363.08 Median $426.58 Typical High $446.68 | Professional | 54 · Surgery only | $363.08 | $426.58 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $85.11 Typical High $89.13 | Professional | 55 · Aftercare only | $72.44 | $85.11 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $57.54 Typical High $58.88 | Professional | 56 · Pre-op care only | $47.86 | $57.54 | $58.88 |
Where Missouri sits
The same service costs 9.8 times more in Alaska 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
AK $17,480MT $1,783
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.