How much rates vary
Facilitymedian $741 · 10th to 90th $115 to $3,890Professionalmedian $115 · 10th to 90th $68 to $525
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 $89.13 Median $3,090.30 Typical High $6,309.57 | Facility | None | $89.13 | $3,090.30 | $6,309.57 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $114.82 Typical High $173.78 | Professional | None | $57.54 | $114.82 | $173.78 |
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 $70.79 Median $81.28 Typical High $120.23 | Professional | None | $70.79 | $81.28 | $120.23 |
BCBS Kansas City Setting Professional Modifier None Typical Low $60.26 Median $141.25 Typical High $181.97 | Professional | None | $60.26 | $141.25 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $2,137.96 Typical High $2,691.53 | Facility | None | $575.44 | $2,137.96 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $112.20 Typical High $213.80 | Professional | None | $66.07 | $112.20 | $213.80 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $234.42 Typical High $1,071.52 | Facility | None | $54.95 | $234.42 | $1,071.52 |
Medica Setting Professional Modifier None Typical Low $158.49 Median $524.81 Typical High $1,230.27 | Professional | None | $158.49 | $524.81 | $1,230.27 |
United Setting Facility Modifier None Typical Low $123.03 Median $549.54 Typical High $2,137.96 | Facility | None | $123.03 | $549.54 | $2,137.96 |
United Setting Professional Modifier None Typical Low $75.86 Median $131.83 Typical High $251.19 | Professional | None | $75.86 | $131.83 | $251.19 |
6 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 $28.18 Median $57.54 Typical High $70.79 | Professional | 52 · Reduced service | $28.18 | $57.54 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $22.91 Typical High $28.18 | Professional | 53 · Discontinued | $11.48 | $22.91 | $28.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $42.66 Median $87.10 Typical High $107.15 | Professional | 54 · Surgery only | $42.66 | $87.10 | $107.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.51 Median $17.38 Typical High $21.38 | Professional | 55 · Aftercare only | $8.51 | $17.38 | $21.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $11.48 Typical High $14.13 | Professional | 56 · Pre-op care only | $5.75 | $11.48 | $14.13 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $56.23 Median $56.23 Typical High $60.26 | Professional | 59 · Distinct service | $56.23 | $56.23 | $60.26 |
Where Missouri sits
The same service costs 14.6 times more in Hawaii than in Florida. 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
HI $2,984FL $205
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.