How much rates vary
Facilitymedian $1,698 · 10th to 90th $447 to $4,898Professionalmedian $347 · 10th to 90th $162 to $3,090
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 $954.99 Median $3,715.35 Typical High $7,762.47 | Facility | None | $954.99 | $3,715.35 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $831.76 Typical High $1,047.13 | Professional | None | $162.18 | $831.76 | $1,047.13 |
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 $165.96 Median $194.98 Typical High $346.74 | Professional | None | $165.96 | $194.98 | $346.74 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $245.47 Median $295.12 Typical High $524.81 | Professional | 50 · Both sides | $245.47 | $295.12 | $524.81 |
BCBS Kansas City Setting Professional Modifier None Typical Low $138.04 Median $776.25 Typical High $912.01 | Professional | None | $138.04 | $776.25 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $1,412.54 Typical High $3,801.89 | Facility | None | $851.14 | $1,412.54 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $380.19 Typical High $1,096.48 | Professional | None | $151.36 | $380.19 | $1,096.48 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,479.11 Typical High $5,248.07 | Facility | None | $54.95 | $1,479.11 | $5,248.07 |
Medica Setting Professional Modifier None Typical Low $660.69 Median $3,090.30 Typical High $6,165.95 | Professional | None | $660.69 | $3,090.30 | $6,165.95 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $2,818.38 Typical High $5,495.41 | Facility | None | $1,000.00 | $2,818.38 | $5,495.41 |
United Setting Professional Modifier None Typical Low $190.55 Median $630.96 Typical High $1,348.96 | Professional | None | $190.55 | $630.96 | $1,348.96 |
2 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 54 · Surgery only Typical Low $120.23 Median $251.19 Typical High $776.25 | Professional | 54 · Surgery only | $120.23 | $251.19 | $776.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $112.20 Median $234.42 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $112.20 | $234.42 | $724.44 |
Where Missouri sits
The same service costs 3.5 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 $4,667MT $1,347
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.