How much rates vary
Facilitymedian $1,230 · 10th to 90th $562 to $5,370Professionalmedian $1,479 · 10th to 90th $1,000 to $2,754
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 $1,071.52 Median $5,011.87 Typical High $7,943.28 | Facility | None | $1,071.52 | $5,011.87 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,096.48 Typical High $2,884.03 | Professional | None | $1,071.52 | $1,096.48 | $2,884.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $575.44 Median $1,148.15 Typical High $5,754.40 | Facility | None | $575.44 | $1,148.15 | $5,754.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $977.24 Median $1,479.11 Typical High $2,570.40 | Professional | None | $977.24 | $1,479.11 | $2,570.40 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $165.96 Median $263.03 Typical High $426.58 | Professional | 80 · Assistant surgeon | $165.96 | $263.03 | $426.58 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $147.91 Median $223.87 Typical High $363.08 | Professional | AS · PA/NP assist | $147.91 | $223.87 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $1,513.56 Typical High $2,041.74 | Facility | None | $933.25 | $1,513.56 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $1,230.27 Median $1,778.28 Typical High $2,754.23 | Professional | None | $1,230.27 | $1,778.28 | $2,754.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,023.29 Median $1,230.27 Typical High $5,888.44 | Professional | None | $1,023.29 | $1,230.27 | $5,888.44 |
Oscar Health Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,862.09 | $1,862.09 | $1,862.09 |
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 $1,096.48 Median $1,584.89 Typical High $2,818.38 | Professional | None | $1,096.48 | $1,584.89 | $2,818.38 |
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 $794.33 Median $794.33 Typical High $912.01 | Professional | 54 · Surgery only | $794.33 | $794.33 | $912.01 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $741.31 Typical High $851.14 | Professional | 78 · Unplanned return to OR | $741.31 | $741.31 | $851.14 |
Where Georgia sits
The same service costs 3.4 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 $7,428KY $2,193
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.