How much rates vary
Facilitymedian $3,802 · 10th to 90th $1,096 to $8,710Professionalmedian $741 · 10th to 90th $617 to $2,884
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 $1,698.24 Median $5,623.41 Typical High $11,748.98 | Facility | None | $1,698.24 | $5,623.41 | $11,748.98 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $758.58 Typical High $1,047.13 | Professional | None | $691.83 | $758.58 | $1,047.13 |
Ambetter Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $870.96 | Professional | None | $549.54 | $549.54 | $870.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,380.38 Median $3,467.37 Typical High $7,079.46 | Facility | None | $1,380.38 | $3,467.37 | $7,079.46 |
Anthem BCBS Setting Professional Modifier None Typical Low $630.96 Median $741.31 Typical High $1,202.26 | Professional | None | $630.96 | $741.31 | $1,202.26 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $933.25 Median $1,122.02 Typical High $1,819.70 | Professional | 50 · Both sides | $933.25 | $1,122.02 | $1,819.70 |
BCBS Kansas City Setting Professional Modifier None Typical Low $575.44 Median $616.60 Typical High $851.14 | Professional | None | $575.44 | $616.60 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $4,786.30 Typical High $5,754.40 | Facility | None | $707.95 | $4,786.30 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $707.95 Typical High $1,230.27 | Professional | None | $630.96 | $707.95 | $1,230.27 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $3,090.30 Typical High $16,218.10 | Facility | None | $54.95 | $3,090.30 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $616.60 Median $1,122.02 Typical High $5,128.61 | Professional | None | $616.60 | $1,122.02 | $5,128.61 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $3,981.07 Typical High $8,511.38 | Facility | None | $1,513.56 | $3,981.07 | $8,511.38 |
United Setting Professional Modifier None Typical Low $616.60 Median $831.76 Typical High $1,258.93 | Professional | None | $616.60 | $831.76 | $1,258.93 |
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 $346.74 Median $380.19 Typical High $407.38 | Professional | 52 · Reduced service | $346.74 | $380.19 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $151.36 Typical High $162.18 | Professional | 53 · Discontinued | $141.25 | $151.36 | $162.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $575.44 Typical High $616.60 | Professional | 54 · Surgery only | $524.81 | $575.44 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $114.82 Typical High $123.03 | Professional | 55 · Aftercare only | $104.71 | $114.82 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $75.86 Typical High $81.28 | Professional | 56 · Pre-op care only | $69.18 | $75.86 | $81.28 |
Where Missouri sits
The same service costs 5.9 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 $12,304MT $2,095
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.