How much rates vary
Facilitymedian $1,479 · 10th to 90th $550 to $5,012Professionalmedian $589 · 10th to 90th $389 to $1,023
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 $5,011.87 Typical High $7,943.28 | Facility | None | $478.63 | $5,011.87 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $630.96 | Professional | None | $478.63 | $478.63 | $630.96 |
Ambetter Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | None | $741.31 | $741.31 | $741.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $512.86 Median $1,000.00 Typical High $4,570.88 | Facility | None | $512.86 | $1,000.00 | $4,570.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $380.19 Median $602.56 Typical High $1,023.29 | Professional | None | $380.19 | $602.56 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,698.24 Typical High $2,187.76 | Facility | None | $524.81 | $1,698.24 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $676.08 Typical High $1,122.02 | Professional | None | $467.74 | $676.08 | $1,122.02 |
Kaiser Permanente Setting Professional Modifier None Typical Low $407.38 Median $489.78 Typical High $812.83 | Professional | None | $407.38 | $489.78 | $812.83 |
Oscar Health Setting Professional Modifier None Typical Low $389.05 Median $724.44 Typical High $912.01 | Professional | None | $389.05 | $724.44 | $912.01 |
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 $645.65 Typical High $1,202.26 | Professional | None | $436.52 | $645.65 | $1,202.26 |
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 $239.88 Median $239.88 Typical High $269.15 | Professional | 52 · Reduced service | $239.88 | $239.88 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $97.72 Typical High $107.15 | Professional | 53 · Discontinued | $97.72 | $97.72 | $107.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $363.08 Median $363.08 Typical High $398.11 | Professional | 54 · Surgery only | $363.08 | $363.08 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $72.44 Typical High $79.43 | Professional | 55 · Aftercare only | $72.44 | $72.44 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $47.86 Typical High $53.70 | Professional | 56 · Pre-op care only | $47.86 | $47.86 | $53.70 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $338.84 Median $338.84 Typical High $371.54 | Professional | 78 · Unplanned return to OR | $338.84 | $338.84 | $371.54 |
Where Georgia sits
The same service costs 4.1 times more in Oklahoma 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
OK $5,653MT $1,368
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.