How much rates vary
Facilitymedian $468 · 10th to 90th $117 to $3,388Professionalmedian $398 · 10th to 90th $263 to $741
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 $288.40 Median $5,370.32 Typical High $7,585.78 | Facility | None | $288.40 | $5,370.32 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $331.13 Typical High $758.58 | Professional | None | $288.40 | $331.13 | $758.58 |
Ambetter Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None | $295.12 | $295.12 | $295.12 |
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 $234.42 Median $398.11 Typical High $630.96 | Professional | None | $234.42 | $398.11 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $165.96 Typical High $457.09 | Facility | None | $117.49 | $165.96 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $467.74 Typical High $812.83 | Professional | None | $309.03 | $467.74 | $812.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $354.81 Median $467.74 Typical High $676.08 | Professional | None | $354.81 | $467.74 | $676.08 |
Oscar Health Setting Professional Modifier None Typical Low $446.68 Median $575.44 Typical High $724.44 | Professional | None | $446.68 | $575.44 | $724.44 |
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 $263.03 Median $436.52 Typical High $870.96 | Professional | None | $263.03 | $436.52 | $870.96 |
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 $141.25 Median $162.18 Typical High $173.78 | Professional | 52 · Reduced service | $141.25 | $162.18 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $64.57 Typical High $69.18 | Professional | 53 · Discontinued | $56.23 | $64.57 | $69.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $208.93 Median $239.88 Typical High $263.03 | Professional | 54 · Surgery only | $208.93 | $239.88 | $263.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $47.86 Typical High $52.48 | Professional | 55 · Aftercare only | $41.69 | $47.86 | $52.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $32.36 Typical High $34.67 | Professional | 56 · Pre-op care only | $28.18 | $32.36 | $34.67 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $194.98 Median $223.87 Typical High $245.47 | Professional | 78 · Unplanned return to OR | $194.98 | $223.87 | $245.47 |
Where Georgia sits
The same service costs 6.7 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 $2,828FL $419
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.