How much rates vary
Facilitymedian $955 · 10th to 90th $437 to $4,365Professionalmedian $724 · 10th to 90th $490 to $1,349
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 $549.54 Median $3,801.89 Typical High $7,413.10 | Facility | None | $549.54 | $3,801.89 | $7,413.10 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $588.84 Typical High $1,380.38 | Professional | None | $524.81 | $588.84 | $1,380.38 |
Ambetter Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $676.08 | Professional | None | $537.03 | $537.03 | $676.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $562.34 Median $1,071.52 Typical High $4,570.88 | Facility | None | $562.34 | $1,071.52 | $4,570.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $436.52 Median $724.44 Typical High $1,174.90 | Professional | None | $436.52 | $724.44 | $1,174.90 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $851.14 Median $1,096.48 Typical High $1,778.28 | Professional | 50 · Both sides | $851.14 | $1,096.48 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,023.29 Typical High $1,380.38 | Facility | None | $602.56 | $1,023.29 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $851.14 Typical High $1,445.44 | Professional | None | $575.44 | $851.14 | $1,445.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $645.65 Median $776.25 Typical High $1,174.90 | Professional | None | $645.65 | $776.25 | $1,174.90 |
Oscar Health Setting Professional Modifier None Typical Low $1,000.00 Median $1,047.13 Typical High $1,202.26 | Professional | None | $1,000.00 | $1,047.13 | $1,202.26 |
United Setting Facility Modifier None Typical Low $331.13 Median $501.19 Typical High $2,454.71 | Facility | None | $331.13 | $501.19 | $2,454.71 |
United Setting Professional Modifier None Typical Low $478.63 Median $794.33 Typical High $1,479.11 | Professional | None | $478.63 | $794.33 | $1,479.11 |
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 $263.03 Median $281.84 Typical High $295.12 | Professional | 52 · Reduced service | $263.03 | $281.84 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $112.20 Typical High $117.49 | Professional | 53 · Discontinued | $104.71 | $112.20 | $117.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $416.87 Typical High $446.68 | Professional | 54 · Surgery only | $389.05 | $416.87 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $85.11 Typical High $89.13 | Professional | 55 · Aftercare only | $77.62 | $85.11 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $56.23 Typical High $58.88 | Professional | 56 · Pre-op care only | $52.48 | $56.23 | $58.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $363.08 Median $389.05 Typical High $416.87 | Professional | 78 · Unplanned return to OR | $363.08 | $389.05 | $416.87 |
Where Georgia sits
The same service costs 4.0 times more in Colorado 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
CO $4,440FL $1,118
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.