How much rates vary
Facilitymedian $794 · 10th to 90th $126 to $3,890Professionalmedian $603 · 10th to 90th $380 to $1,072
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 $478.63 Median $3,548.13 Typical High $7,585.78 | Facility | None | $478.63 | $3,548.13 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $478.63 Typical High $1,148.15 | Professional | None | $436.52 | $478.63 | $1,148.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $389.05 Median $831.76 Typical High $4,570.88 | Facility | None | $389.05 | $831.76 | $4,570.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $363.08 Median $602.56 Typical High $933.25 | Professional | None | $363.08 | $602.56 | $933.25 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $645.65 Median $912.01 Typical High $1,479.11 | Professional | 50 · Both sides | $645.65 | $912.01 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $1,000.00 Typical High $1,318.26 | Facility | None | $398.11 | $1,000.00 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $691.83 Typical High $1,202.26 | Professional | None | $478.63 | $691.83 | $1,202.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $501.19 Median $630.96 Typical High $933.25 | Professional | None | $501.19 | $630.96 | $933.25 |
Oscar Health Setting Professional Modifier None Typical Low $812.83 Median $851.14 Typical High $1,000.00 | Professional | None | $812.83 | $851.14 | $1,000.00 |
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 $380.19 Median $616.60 Typical High $1,202.26 | Professional | None | $380.19 | $616.60 | $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 $213.80 Median $234.42 Typical High $251.19 | Professional | 52 · Reduced service | $213.80 | $234.42 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $93.33 Typical High $102.33 | Professional | 53 · Discontinued | $85.11 | $93.33 | $102.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $323.59 Median $354.81 Typical High $380.19 | Professional | 54 · Surgery only | $323.59 | $354.81 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $70.79 Typical High $75.86 | Professional | 55 · Aftercare only | $64.57 | $70.79 | $75.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $46.77 Typical High $50.12 | Professional | 56 · Pre-op care only | $42.66 | $46.77 | $50.12 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $302.00 Median $331.13 Typical High $354.81 | Professional | 78 · Unplanned return to OR | $302.00 | $331.13 | $354.81 |
Where Georgia sits
The same service costs 5.3 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 $4,377FL $831
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.