How much rates vary
Facilitymedian $1,514 · 10th to 90th $631 to $5,754Professionalmedian $661 · 10th to 90th $447 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 $478.63 Median $5,370.32 Typical High $10,000.00 | Facility | None | $478.63 | $5,370.32 | $10,000.00 |
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 |
Ambetter Setting Professional Modifier None Typical Low $575.44 Median $977.24 Typical High $977.24 | Professional | None | $575.44 | $977.24 | $977.24 |
Anthem BCBS Setting Facility Modifier None Typical Low $575.44 Median $1,148.15 Typical High $5,754.40 | Facility | None | $575.44 | $1,148.15 | $5,754.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $446.68 Median $660.69 Typical High $1,071.52 | Professional | None | $446.68 | $660.69 | $1,071.52 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $707.95 Median $1,023.29 Typical High $1,659.59 | Professional | 50 · Both sides | $707.95 | $1,023.29 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $1,071.52 Median $1,513.56 Typical High $2,570.40 | Facility | None | $1,071.52 | $1,513.56 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $776.25 Typical High $1,258.93 | Professional | None | $537.03 | $776.25 | $1,258.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $512.86 Median $575.44 Typical High $1,698.24 | Professional | None | $512.86 | $575.44 | $1,698.24 |
Oscar Health Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | None | $851.14 | $851.14 | $851.14 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,479.11 Typical High $5,011.87 | Facility | None | $851.14 | $1,479.11 | $5,011.87 |
United Setting Professional Modifier None Typical Low $436.52 Median $691.83 Typical High $1,258.93 | Professional | None | $436.52 | $691.83 | $1,258.93 |
2 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 54 · Surgery only Typical Low $363.08 Median $363.08 Typical High $407.38 | Professional | 54 · Surgery only | $363.08 | $363.08 | $407.38 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $338.84 Median $338.84 Typical High $380.19 | Professional | 78 · Unplanned return to OR | $338.84 | $338.84 | $380.19 |
Where Georgia sits
The same service costs 4.4 times more in Colorado than in Montana. 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 $6,812MT $1,536
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.