How much rates vary
Facilitymedian $1,072 · 10th to 90th $550 to $4,571Professionalmedian $1,000 · 10th to 90th $692 to $1,820
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 $794.33 Median $5,370.32 Typical High $7,762.47 | Facility | None | $794.33 | $5,370.32 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $794.33 Typical High $1,071.52 | Professional | None | $630.96 | $794.33 | $1,071.52 |
Anthem BCBS Setting Facility Modifier None Typical Low $562.34 Median $1,071.52 Typical High $4,570.88 | Facility | None | $562.34 | $1,071.52 | $4,570.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $707.95 Median $1,000.00 Typical High $1,737.80 | Professional | None | $707.95 | $1,000.00 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,318.26 Typical High $1,819.70 | Facility | None | $602.56 | $1,318.26 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $1,412.54 Typical High $1,949.84 | Professional | None | $616.60 | $1,412.54 | $1,949.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $758.58 Median $1,096.48 Typical High $1,348.96 | Professional | None | $758.58 | $1,096.48 | $1,348.96 |
United Setting Facility Modifier None Typical Low $501.19 Median $724.44 Typical High $3,548.13 | Facility | None | $501.19 | $724.44 | $3,548.13 |
United Setting Professional Modifier None Typical Low $758.58 Median $1,230.27 Typical High $2,344.23 | Professional | None | $758.58 | $1,230.27 | $2,344.23 |
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 $316.23 Median $398.11 Typical High $478.63 | Professional | 52 · Reduced service | $316.23 | $398.11 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $158.49 Typical High $190.55 | Professional | 53 · Discontinued | $125.89 | $158.49 | $190.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $588.84 Typical High $707.95 | Professional | 54 · Surgery only | $467.74 | $588.84 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $117.49 Typical High $141.25 | Professional | 55 · Aftercare only | $93.33 | $117.49 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $79.43 Typical High $95.50 | Professional | 56 · Pre-op care only | $63.10 | $79.43 | $95.50 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $549.54 Typical High $660.69 | Professional | 78 · Unplanned return to OR | $436.52 | $549.54 | $660.69 |
Where Georgia sits
The same service costs 3.7 times more in Alaska than in Delaware. 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 $6,113DE $1,645
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.