How much rates vary
Facilitymedian $2,692 · 10th to 90th $724 to $7,413Professionalmedian $1,514 · 10th to 90th $1,000 to $2,692
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 $1,202.26 Median $5,623.41 Typical High $10,000.00 | Facility | None | $1,202.26 | $5,623.41 | $10,000.00 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,230.27 Typical High $3,162.28 | Professional | None | $1,202.26 | $1,230.27 | $3,162.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $691.83 Median $1,348.96 Typical High $7,244.36 | Facility | None | $691.83 | $1,348.96 | $7,244.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $954.99 Median $1,513.56 Typical High $2,290.87 | Professional | None | $954.99 | $1,513.56 | $2,290.87 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,621.81 Median $2,290.87 Typical High $3,630.78 | Professional | 50 · Both sides | $1,621.81 | $2,290.87 | $3,630.78 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $3,467.37 Typical High $4,365.16 | Facility | None | $602.56 | $3,467.37 | $4,365.16 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,621.81 Typical High $2,884.03 | Professional | None | $1,148.15 | $1,621.81 | $2,884.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,023.29 Median $1,230.27 Typical High $5,754.40 | Professional | None | $1,023.29 | $1,230.27 | $5,754.40 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $2,884.03 Typical High $8,709.64 | Facility | None | $1,258.93 | $2,884.03 | $8,709.64 |
United Setting Professional Modifier None Typical Low $1,096.48 Median $1,659.59 Typical High $3,162.28 | Professional | None | $1,096.48 | $1,659.59 | $3,162.28 |
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 $602.56 Median $602.56 Typical High $660.69 | Professional | 52 · Reduced service | $602.56 | $602.56 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $239.88 Typical High $263.03 | Professional | 53 · Discontinued | $239.88 | $239.88 | $263.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $891.25 Median $891.25 Typical High $1,000.00 | Professional | 54 · Surgery only | $891.25 | $891.25 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $181.97 Typical High $199.53 | Professional | 55 · Aftercare only | $181.97 | $181.97 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $120.23 Typical High $131.83 | Professional | 56 · Pre-op care only | $120.23 | $120.23 | $131.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $831.76 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $831.76 | $831.76 | $933.25 |
Where Georgia sits
The same service costs 3.4 times more in Alaska 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
AK $11,546MT $3,436
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.