How much rates vary
Facilitymedian $1,585 · 10th to 90th $692 to $6,166Professionalmedian $1,259 · 10th to 90th $794 to $2,089
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 $1,071.52 Median $5,370.32 Typical High $7,943.28 | Facility | None | $1,071.52 | $5,370.32 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,318.26 | Professional | None | $1,071.52 | $1,071.52 | $1,318.26 |
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 $794.33 Median $1,258.93 Typical High $1,949.84 | Professional | None | $794.33 | $1,258.93 | $1,949.84 |
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 $891.25 Median $1,258.93 Typical High $2,511.89 | Professional | None | $891.25 | $1,258.93 | $2,511.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $891.25 Median $1,071.52 Typical High $1,698.24 | Professional | None | $891.25 | $1,071.52 | $1,698.24 |
Oscar Health Setting Professional Modifier None Typical Low $870.96 Median $1,621.81 Typical High $1,995.26 | Professional | None | $870.96 | $1,621.81 | $1,995.26 |
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 $776.25 Median $1,174.90 Typical High $2,754.23 | Professional | None | $776.25 | $1,174.90 | $2,754.23 |
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 $537.03 Median $537.03 Typical High $588.84 | Professional | 52 · Reduced service | $537.03 | $537.03 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $213.80 Typical High $234.42 | Professional | 53 · Discontinued | $213.80 | $213.80 | $234.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $794.33 Median $794.33 Typical High $891.25 | Professional | 54 · Surgery only | $794.33 | $794.33 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $158.49 Typical High $177.83 | Professional | 55 · Aftercare only | $158.49 | $158.49 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $107.15 Typical High $117.49 | Professional | 56 · Pre-op care only | $107.15 | $107.15 | $117.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $741.31 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $741.31 | $741.31 | $831.76 |
Where Georgia sits
The same service costs 5.7 times more in Alaska than in Kentucky. 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 $10,970KY $1,909
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.