How much rates vary
Facilitymedian $501 · 10th to 90th $123 to $3,388Professionalmedian $661 · 10th to 90th $417 to $1,148
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 $512.86 Median $3,548.13 Typical High $7,585.78 | Facility | None | $512.86 | $3,548.13 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $512.86 Typical High $1,258.93 | Professional | None | $478.63 | $512.86 | $1,258.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $380.19 Median $776.25 Typical High $3,630.78 | Facility | None | $380.19 | $776.25 | $3,630.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $389.05 Median $660.69 Typical High $1,023.29 | Professional | None | $389.05 | $660.69 | $1,023.29 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $707.95 Median $977.24 Typical High $1,584.89 | Professional | 50 · Both sides | $707.95 | $977.24 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $181.97 Typical High $602.56 | Facility | None | $134.90 | $181.97 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $758.58 Typical High $1,288.25 | Professional | None | $512.86 | $758.58 | $1,288.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $537.03 Median $676.08 Typical High $977.24 | Professional | None | $537.03 | $676.08 | $977.24 |
Oscar Health Setting Professional Modifier None Typical Low $870.96 Median $912.01 Typical High $1,047.13 | Professional | None | $870.96 | $912.01 | $1,047.13 |
United Setting Facility Modifier None Typical Low $79.43 Median $158.49 Typical High $1,778.28 | Facility | None | $79.43 | $158.49 | $1,778.28 |
United Setting Professional Modifier None Typical Low $416.87 Median $676.08 Typical High $1,258.93 | Professional | None | $416.87 | $676.08 | $1,258.93 |
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 $234.42 Median $251.19 Typical High $269.15 | Professional | 52 · Reduced service | $234.42 | $251.19 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $100.00 Typical High $109.65 | Professional | 53 · Discontinued | $93.33 | $100.00 | $109.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $380.19 Typical High $407.38 | Professional | 54 · Surgery only | $346.74 | $380.19 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $75.86 Typical High $81.28 | Professional | 55 · Aftercare only | $69.18 | $75.86 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $50.12 Typical High $53.70 | Professional | 56 · Pre-op care only | $46.77 | $50.12 | $53.70 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $354.81 Typical High $380.19 | Professional | 78 · Unplanned return to OR | $323.59 | $354.81 | $380.19 |
Where Georgia sits
The same service costs 4.7 times more in New York than in Florida. 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
NY $3,038FL $649
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.