How much rates vary
Facilitymedian $759 · 10th to 90th $447 to $4,571Professionalmedian $437 · 10th to 90th $302 to $776
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 $346.74 Median $5,370.32 Typical High $7,943.28 | Facility | None | $346.74 | $5,370.32 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $346.74 Typical High $912.01 | Professional | None | $338.84 | $346.74 | $912.01 |
Ambetter Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None | $338.84 | $338.84 | $338.84 |
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 $281.84 Median $436.52 Typical High $707.95 | Professional | None | $281.84 | $436.52 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $549.54 Typical High $2,398.83 | Facility | None | $457.09 | $549.54 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $602.56 Typical High $912.01 | Professional | None | $363.08 | $602.56 | $912.01 |
Kaiser Permanente Setting Professional Modifier None Typical Low $331.13 Median $371.54 Typical High $1,905.46 | Professional | None | $331.13 | $371.54 | $1,905.46 |
Oscar Health Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None | $537.03 | $537.03 | $537.03 |
United Setting Facility Modifier None Typical Low $371.54 Median $645.65 Typical High $3,981.07 | Facility | None | $371.54 | $645.65 | $3,981.07 |
United Setting Professional Modifier None Typical Low $323.59 Median $512.86 Typical High $1,047.13 | Professional | None | $323.59 | $512.86 | $1,047.13 |
5 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 $169.82 Median $173.78 Typical High $190.55 | Professional | 52 · Reduced service | $169.82 | $173.78 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $69.18 Typical High $75.86 | Professional | 53 · Discontinued | $67.61 | $69.18 | $75.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $263.03 Typical High $288.40 | Professional | 54 · Surgery only | $257.04 | $263.03 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $52.48 Typical High $57.54 | Professional | 55 · Aftercare only | $51.29 | $52.48 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $34.67 Typical High $38.02 | Professional | 56 · Pre-op care only | $33.88 | $34.67 | $38.02 |
Where Georgia sits
The same service costs 6.1 times more in Alaska than in Maryland. 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 $5,496MD $901
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.