How much rates vary
Facilitymedian $7,244 · 10th to 90th $1,259 to $20,417Professionalmedian $4,266 · 10th to 90th $589 to $12,303
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 $575.44 Median $7,244.36 Typical High $11,481.54 | Facility | None | $575.44 | $7,244.36 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $6,025.60 Typical High $7,762.47 | Professional | None | $575.44 | $6,025.60 | $7,762.47 |
Ambetter Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None | $549.54 | $549.54 | $549.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,288.25 Median $2,511.89 Typical High $15,848.93 | Facility | None | $1,288.25 | $2,511.89 | $15,848.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $660.69 Median $4,265.80 Typical High $12,022.64 | Professional | None | $660.69 | $4,265.80 | $12,022.64 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $14,125.38 Typical High $18,620.87 | Facility | None | $602.56 | $14,125.38 | $18,620.87 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $7,413.10 Typical High $15,848.93 | Professional | None | $588.84 | $7,413.10 | $15,848.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $549.54 Median $5,011.87 Typical High $12,022.64 | Professional | None | $549.54 | $5,011.87 | $12,022.64 |
Oscar Health Setting Professional Modifier None Typical Low $512.86 Median $5,495.41 Typical High $12,022.64 | Professional | None | $512.86 | $5,495.41 | $12,022.64 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $12,882.50 Typical High $25,703.96 | Facility | None | $1,513.56 | $12,882.50 | $25,703.96 |
United Setting Professional Modifier None Typical Low $588.84 Median $6,606.93 Typical High $15,848.93 | Professional | None | $588.84 | $6,606.93 | $15,848.93 |
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 $288.40 Median $407.38 Typical High $3,630.78 | Professional | 52 · Reduced service | $288.40 | $407.38 | $3,630.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $162.18 Typical High $1,445.44 | Professional | 53 · Discontinued | $114.82 | $162.18 | $1,445.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $616.60 Typical High $5,370.32 | Professional | 54 · Surgery only | $426.58 | $616.60 | $5,370.32 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $123.03 Typical High $1,071.52 | Professional | 55 · Aftercare only | $85.11 | $123.03 | $1,071.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $81.28 Typical High $724.44 | Professional | 56 · Pre-op care only | $57.54 | $81.28 | $724.44 |
Where Georgia sits
The same service costs 6.1 times more in Alaska than in Vermont. 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 $33,081VT $5,424
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.