How much rates vary
Facilitymedian $1,349 · 10th to 90th $501 to $6,761Professionalmedian $646 · 10th to 90th $229 to $1,380
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 $204.17 Median $5,370.32 Typical High $8,317.64 | Facility | None | $204.17 | $5,370.32 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $645.65 Typical High $891.25 | Professional | None | $204.17 | $645.65 | $891.25 |
Ambetter Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None | $234.42 | $234.42 | $234.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $575.44 Median $1,148.15 Typical High $5,888.44 | Facility | None | $575.44 | $1,148.15 | $5,888.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $234.42 Median $630.96 Typical High $1,318.26 | Professional | None | $234.42 | $630.96 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $549.54 Typical High $912.01 | Facility | None | $398.11 | $549.54 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $691.83 Typical High $1,698.24 | Professional | None | $208.93 | $691.83 | $1,698.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $194.98 Median $645.65 Typical High $1,174.90 | Professional | None | $194.98 | $645.65 | $1,174.90 |
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 $208.93 Median $645.65 Typical High $1,584.89 | Professional | None | $208.93 | $645.65 | $1,584.89 |
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 $102.33 Median $309.03 Typical High $371.54 | Professional | 52 · Reduced service | $102.33 | $309.03 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $125.89 Typical High $147.91 | Professional | 53 · Discontinued | $40.74 | $125.89 | $147.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $151.36 Median $467.74 Typical High $562.34 | Professional | 54 · Surgery only | $151.36 | $467.74 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $93.33 Typical High $112.20 | Professional | 55 · Aftercare only | $30.20 | $93.33 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $61.66 Typical High $74.13 | Professional | 56 · Pre-op care only | $20.42 | $61.66 | $74.13 |
Where Georgia sits
The same service costs 6.9 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 $7,377MT $1,063
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.