How much rates vary
Facilitymedian $2,188 · 10th to 90th $562 to $15,136Professionalmedian $1,148 · 10th to 90th $776 to $1,862
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 $831.76 Median $3,801.89 Typical High $16,982.44 | Facility | None | $831.76 | $3,801.89 | $16,982.44 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $1,023.29 | Professional | None | $812.83 | $812.83 | $1,023.29 |
Anthem BCBS Setting Facility Modifier None Typical Low $512.86 Median $1,000.00 Typical High $19,952.62 | Facility | None | $512.86 | $1,000.00 | $19,952.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $776.25 Median $1,148.15 Typical High $1,819.70 | Professional | None | $776.25 | $1,148.15 | $1,819.70 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $128.82 Median $213.80 Typical High $302.00 | Professional | 80 · Assistant surgeon | $128.82 | $213.80 | $302.00 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $117.49 Median $165.96 Typical High $263.03 | Professional | AS · PA/NP assist | $117.49 | $165.96 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $912.01 Typical High $8,317.64 | Facility | None | $512.86 | $912.01 | $8,317.64 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $1,380.38 Typical High $2,089.30 | Professional | None | $933.25 | $1,380.38 | $2,089.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $776.25 Median $891.25 Typical High $2,951.21 | Professional | None | $776.25 | $891.25 | $2,951.21 |
Oscar Health Setting Professional Modifier None Typical Low $1,318.26 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,318.26 | $1,412.54 | $1,412.54 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $3,715.35 Typical High $10,000.00 | Facility | None | $1,513.56 | $3,715.35 | $10,000.00 |
United Setting Professional Modifier None Typical Low $776.25 Median $1,288.25 Typical High $2,041.74 | Professional | None | $776.25 | $1,288.25 | $2,041.74 |
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 $407.38 Median $407.38 Typical High $467.74 | Professional | 52 · Reduced service | $407.38 | $407.38 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $165.96 Typical High $186.21 | Professional | 53 · Discontinued | $165.96 | $165.96 | $186.21 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $616.60 Typical High $691.83 | Professional | 54 · Surgery only | $616.60 | $616.60 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $123.03 Typical High $141.25 | Professional | 55 · Aftercare only | $123.03 | $123.03 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $81.28 Typical High $93.33 | Professional | 56 · Pre-op care only | $81.28 | $81.28 | $93.33 |
Where Georgia sits
The same service costs 4.6 times more in Alaska 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.
Physician feeFacility fee
AK $9,843KY $2,122
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.