How much rates vary
Facilitymedian $1,202 · 10th to 90th $562 to $5,248Professionalmedian $589 · 10th to 90th $398 to $1,047
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 $436.52 Median $5,370.32 Typical High $7,943.28 | Facility | None | $436.52 | $5,370.32 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $457.09 Typical High $1,148.15 | Professional | None | $426.58 | $457.09 | $1,148.15 |
Ambetter Setting Professional Modifier None Typical Low $436.52 Median $575.44 Typical High $758.58 | Professional | None | $436.52 | $575.44 | $758.58 |
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 $380.19 Median $588.84 Typical High $1,023.29 | Professional | None | $380.19 | $588.84 | $1,023.29 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $630.96 Median $933.25 Typical High $1,513.56 | Professional | 50 · Both sides | $630.96 | $933.25 | $1,513.56 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $67.61 Median $107.15 Typical High $165.96 | Professional | 80 · Assistant surgeon | $67.61 | $107.15 | $165.96 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $60.26 Median $87.10 Typical High $141.25 | Professional | AS · PA/NP assist | $60.26 | $87.10 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $954.99 Typical High $2,238.72 | Facility | None | $676.08 | $954.99 | $2,238.72 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $691.83 Typical High $1,122.02 | Professional | None | $478.63 | $691.83 | $1,122.02 |
Kaiser Permanente Setting Professional Modifier None Typical Low $457.09 Median $512.86 Typical High $1,995.26 | Professional | None | $457.09 | $512.86 | $1,995.26 |
Oscar Health Setting Professional Modifier None Typical Low $660.69 Median $741.31 Typical High $758.58 | Professional | None | $660.69 | $741.31 | $758.58 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,479.11 Typical High $5,011.87 | Facility | None | $851.14 | $1,479.11 | $5,011.87 |
United Setting Professional Modifier None Typical Low $398.11 Median $630.96 Typical High $1,148.15 | Professional | None | $398.11 | $630.96 | $1,148.15 |
1 more rate 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 78 · Unplanned return to OR Typical Low $302.00 Median $302.00 Typical High $338.84 | Professional | 78 · Unplanned return to OR | $302.00 | $302.00 | $338.84 |
Where Georgia sits
The same service costs 3.7 times more in Colorado than in Montana. 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 $5,160MT $1,384
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.