How much rates vary
Facilitymedian $1,514 · 10th to 90th $479 to $4,677Professionalmedian $389 · 10th to 90th $245 to $3,020
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 $213.80 Median $257.04 Typical High $331.13 | Professional | None | $213.80 | $257.04 | $331.13 |
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 $269.15 Median $338.84 Typical High $467.74 | Professional | None | $269.15 | $338.84 | $467.74 |
BCBS Kansas City Setting Professional Modifier None Typical Low $229.09 Median $245.47 Typical High $338.84 | Professional | None | $229.09 | $245.47 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $954.99 Typical High $1,659.59 | Facility | None | $446.68 | $954.99 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $281.84 Typical High $575.44 | Professional | None | $213.80 | $281.84 | $575.44 |
Medica Setting Facility Modifier None Typical Low $549.54 Median $1,548.82 Typical High $12,022.64 | Facility | None | $549.54 | $1,548.82 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $309.03 Median $891.25 Typical High $4,073.80 | Professional | None | $309.03 | $891.25 | $4,073.80 |
United Setting Facility Modifier None Typical Low $562.34 Median $1,513.56 Typical High $3,235.94 | Facility | None | $562.34 | $1,513.56 | $3,235.94 |
United Setting Professional Modifier None Typical Low $251.19 Median $457.09 Typical High $616.60 | Professional | None | $251.19 | $457.09 | $616.60 |
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 $107.15 Median $125.89 Typical High $131.83 | Professional | 52 · Reduced service | $107.15 | $125.89 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $51.29 Typical High $53.70 | Professional | 53 · Discontinued | $43.65 | $51.29 | $53.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $162.18 Median $190.55 Typical High $199.53 | Professional | 54 · Surgery only | $162.18 | $190.55 | $199.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $38.02 Typical High $39.81 | Professional | 55 · Aftercare only | $32.36 | $38.02 | $39.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $25.70 Typical High $26.92 | Professional | 56 · Pre-op care only | $21.38 | $25.70 | $26.92 |
Where Missouri sits
The same service costs 6.0 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 $4,737MT $787
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.