How much rates vary
Facilitymedian $1,585 · 10th to 90th $603 to $5,623Professionalmedian $676 · 10th to 90th $427 to $1,122
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 $660.69 Median $5,370.32 Typical High $7,943.28 | Facility | None | $660.69 | $5,370.32 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $489.78 Typical High $660.69 | Professional | None | $478.63 | $489.78 | $660.69 |
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 $407.38 Median $676.08 Typical High $1,071.52 | Professional | None | $407.38 | $676.08 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,905.46 Typical High $2,511.89 | Facility | None | $602.56 | $1,905.46 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $758.58 Typical High $1,258.93 | Professional | None | $537.03 | $758.58 | $1,258.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $501.19 Median $549.54 Typical High $831.76 | Professional | None | $501.19 | $549.54 | $831.76 |
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 $426.58 Median $707.95 Typical High $1,202.26 | Professional | None | $426.58 | $707.95 | $1,202.26 |
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 $239.88 Median $245.47 Typical High $269.15 | Professional | 52 · Reduced service | $239.88 | $245.47 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $97.72 Typical High $109.65 | Professional | 53 · Discontinued | $95.50 | $97.72 | $109.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $363.08 Median $371.54 Typical High $407.38 | Professional | 54 · Surgery only | $363.08 | $371.54 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $74.13 Typical High $81.28 | Professional | 55 · Aftercare only | $72.44 | $74.13 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $48.98 Typical High $54.95 | Professional | 56 · Pre-op care only | $47.86 | $48.98 | $54.95 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $338.84 Median $346.74 Typical High $380.19 | Professional | 78 · Unplanned return to OR | $338.84 | $346.74 | $380.19 |
Where Georgia sits
The same service costs 4.6 times more in Alabama 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
AL $7,006MT $1,517
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.