How much rates vary
Facilitymedian $6,310 · 10th to 90th $1,288 to $14,125Professionalmedian $398 · 10th to 90th $282 to $1,175
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 $3,162.28 Median $7,762.47 Typical High $16,595.87 | Facility | None | $3,162.28 | $7,762.47 | $16,595.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $3,981.07 Median $5,623.41 Typical High $12,302.69 | Professional | None (both parts) | $3,981.07 | $5,623.41 | $12,302.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $323.59 Typical High $363.08 | Professional | 26 · Professional part | $309.03 | $323.59 | $363.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,168.69 Median $9,772.37 Typical High $15,848.93 | Facility | None | $4,168.69 | $9,772.37 | $15,848.93 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $275.42 Median $302.00 Typical High $549.54 | Professional | None (both parts) | $275.42 | $302.00 | $549.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $316.23 Typical High $575.44 | Professional | 26 · Professional part | $281.84 | $316.23 | $575.44 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $309.03 Typical High $416.87 | Professional | 26 · Professional part | $295.12 | $309.03 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $691.83 Typical High $14,125.38 | Facility | None | $489.78 | $691.83 | $14,125.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $398.11 Typical High $660.69 | Professional | 26 · Professional part | $275.42 | $398.11 | $660.69 |
Medica Setting Facility Modifier None Typical Low $1,000.00 Median $2,951.21 Typical High $10,000.00 | Facility | None | $1,000.00 | $2,951.21 | $10,000.00 |
Medica Setting Professional Modifier None (both parts) Typical Low $398.11 Median $676.08 Typical High $1,862.09 | Professional | None (both parts) | $398.11 | $676.08 | $1,862.09 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $398.11 Median $676.08 Typical High $1,862.09 | Professional | 26 · Professional part | $398.11 | $676.08 | $1,862.09 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $4,466.84 Typical High $12,589.25 | Facility | None | $1,513.56 | $4,466.84 | $12,589.25 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $537.03 Typical High $794.33 | Professional | None (both parts) | $316.23 | $537.03 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $537.03 Typical High $794.33 | Professional | 26 · Professional part | $316.23 | $537.03 | $794.33 |
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 $154.88 Median $158.49 Typical High $181.97 | Professional | 52 · Reduced service | $154.88 | $158.49 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $64.57 Typical High $72.44 | Professional | 53 · Discontinued | $61.66 | $64.57 | $72.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $234.42 Median $239.88 Typical High $269.15 | Professional | 54 · Surgery only | $234.42 | $239.88 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $47.86 Typical High $53.70 | Professional | 55 · Aftercare only | $46.77 | $47.86 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $32.36 Typical High $36.31 | Professional | 56 · Pre-op care only | $30.90 | $32.36 | $36.31 |
Where Missouri sits
The same service costs 23.4 times more in Colorado than in Kentucky. 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.
Missouri· 39th of 51
$575
CO $6,761KY $288
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.