How much rates vary
Facilitymedian $759 · 10th to 90th $372 to $4,467Professionalmedian $389 · 10th to 90th $251 to $661
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 $371.54 Median $3,548.13 Typical High $7,585.78 | Facility | None | $371.54 | $3,548.13 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $380.19 Typical High $524.81 | Professional | None | $251.19 | $380.19 | $524.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $512.86 Median $1,000.00 Typical High $4,570.88 | Facility | None | $512.86 | $1,000.00 | $4,570.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $239.88 Median $363.08 Typical High $616.60 | Professional | None | $239.88 | $363.08 | $616.60 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $380.19 Median $537.03 Typical High $933.25 | Professional | 50 · Both sides | $380.19 | $537.03 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $371.54 Typical High $616.60 | Facility | None | $263.03 | $371.54 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $467.74 Typical High $851.14 | Professional | None | $288.40 | $467.74 | $851.14 |
Kaiser Permanente Setting Professional Modifier None Typical Low $263.03 Median $478.63 Typical High $1,258.93 | Professional | None | $263.03 | $478.63 | $1,258.93 |
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 $257.04 Median $457.09 Typical High $954.99 | Professional | None | $257.04 | $457.09 | $954.99 |
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 $190.55 Median $251.19 Typical High $302.00 | Professional | 54 · Surgery only | $190.55 | $251.19 | $302.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $177.83 Median $234.42 Typical High $281.84 | Professional | 78 · Unplanned return to OR | $177.83 | $234.42 | $281.84 |
Where Georgia sits
The same service costs 6.3 times more in Colorado than in Texas. 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 $4,763TX $751
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.