How much rates vary
Facilitymedian $447 · 10th to 90th $117 to $3,388Professionalmedian $372 · 10th to 90th $240 to $708
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 $269.15 Median $426.58 Typical High $7,413.10 | Facility | None | $269.15 | $426.58 | $7,413.10 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $295.12 Typical High $707.95 | Professional | None | $269.15 | $295.12 | $707.95 |
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 $223.87 Median $380.19 Typical High $588.84 | Professional | None | $223.87 | $380.19 | $588.84 |
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 $288.40 Median $426.58 Typical High $794.33 | Professional | None | $288.40 | $426.58 | $794.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $363.08 Median $407.38 Typical High $645.65 | Professional | None | $363.08 | $407.38 | $645.65 |
Oscar Health Setting Professional Modifier None Typical Low $426.58 Median $537.03 Typical High $691.83 | Professional | None | $426.58 | $537.03 | $691.83 |
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 $234.42 Median $380.19 Typical High $812.83 | Professional | None | $234.42 | $380.19 | $812.83 |
7 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 $131.83 Median $144.54 Typical High $154.88 | Professional | 52 · Reduced service | $131.83 | $144.54 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $57.54 Typical High $61.66 | Professional | 53 · Discontinued | $52.48 | $57.54 | $61.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $199.53 Median $218.78 Typical High $234.42 | Professional | 54 · Surgery only | $199.53 | $218.78 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $43.65 Typical High $46.77 | Professional | 55 · Aftercare only | $39.81 | $43.65 | $46.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.30 Median $28.84 Typical High $30.90 | Professional | 56 · Pre-op care only | $26.30 | $28.84 | $30.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $186.21 Median $204.17 Typical High $218.78 | Professional | 78 · Unplanned return to OR | $186.21 | $204.17 | $218.78 |
Ambetter Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $446.68 Typical High $457.09 | Professional | 54 · Surgery only | $371.54 | $446.68 | $457.09 |
Where Georgia sits
The same service costs 6.4 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 $2,602FL $408
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.