How much rates vary
Facilitymedian $1,862 · 10th to 90th $550 to $6,310Professionalmedian $692 · 10th to 90th $214 to $1,514
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 $316.23 Median $3,630.78 Typical High $7,413.10 | Facility | None | $316.23 | $3,630.78 | $7,413.10 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $851.14 Typical High $1,445.44 | Professional | None | $208.93 | $851.14 | $1,445.44 |
Ambetter Setting Professional Modifier None Typical Low $162.18 Median $177.83 Typical High $309.03 | Professional | None | $162.18 | $177.83 | $309.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $512.86 Median $1,096.48 Typical High $5,754.40 | Facility | None | $512.86 | $1,096.48 | $5,754.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $234.42 Median $676.08 Typical High $1,479.11 | Professional | None | $234.42 | $676.08 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $2,454.71 Typical High $3,467.37 | Facility | None | $537.03 | $2,454.71 | $3,467.37 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $851.14 Typical High $1,995.26 | Professional | None | $213.80 | $851.14 | $1,995.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $204.17 Median $851.14 Typical High $1,548.82 | Professional | None | $204.17 | $851.14 | $1,548.82 |
Oscar Health Setting Professional Modifier None Typical Low $190.55 Median $691.83 Typical High $1,548.82 | Professional | None | $190.55 | $691.83 | $1,548.82 |
United Setting Facility Modifier None Typical Low $954.99 Median $1,995.26 Typical High $7,585.78 | Facility | None | $954.99 | $1,995.26 | $7,585.78 |
United Setting Professional Modifier None Typical Low $218.78 Median $831.76 Typical High $1,949.84 | Professional | None | $218.78 | $831.76 | $1,949.84 |
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 $102.33 Median $407.38 Typical High $489.78 | Professional | 52 · Reduced service | $102.33 | $407.38 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $162.18 Typical High $194.98 | Professional | 53 · Discontinued | $40.74 | $162.18 | $194.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $151.36 Median $602.56 Typical High $724.44 | Professional | 54 · Surgery only | $151.36 | $602.56 | $724.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $120.23 Typical High $144.54 | Professional | 55 · Aftercare only | $30.20 | $120.23 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $81.28 Typical High $97.72 | Professional | 56 · Pre-op care only | $20.42 | $81.28 | $97.72 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $141.25 Median $562.34 Typical High $676.08 | Professional | 78 · Unplanned return to OR | $141.25 | $562.34 | $676.08 |
Where Georgia sits
The same service costs 5.1 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 $7,315MT $1,443
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.