How much rates vary
Facilitymedian $550 · 10th to 90th $100 to $12,303Professionalmedian $537 · 10th to 90th $170 to $1,349
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 $630.96 Median $3,630.78 Typical High $11,481.54 | Facility | None | $630.96 | $3,630.78 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $645.65 Typical High $1,862.09 | Professional | None | $165.96 | $645.65 | $1,862.09 |
Ambetter Setting Professional Modifier None Typical Low $138.04 Median $194.98 Typical High $1,258.93 | Professional | None | $138.04 | $194.98 | $1,258.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $9,549.93 Median $22,387.21 Typical High $28,840.32 | Facility | None | $9,549.93 | $22,387.21 | $28,840.32 |
Anthem BCBS Setting Professional Modifier None Typical Low $186.21 Median $537.03 Typical High $1,348.96 | Professional | None | $186.21 | $537.03 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $741.31 Typical High $3,235.94 | Facility | None | $501.19 | $741.31 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $812.83 Typical High $1,548.82 | Professional | None | $169.82 | $812.83 | $1,548.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $158.49 Median $691.83 Typical High $1,949.84 | Professional | None | $158.49 | $691.83 | $1,949.84 |
Oscar Health Setting Professional Modifier None Typical Low $147.91 Median $549.54 Typical High $1,174.90 | Professional | None | $147.91 | $549.54 | $1,174.90 |
United Setting Facility Modifier None Typical Low $79.43 Median $158.49 Typical High $1,778.28 | Facility | None | $79.43 | $158.49 | $1,778.28 |
United Setting Professional Modifier None Typical Low $162.18 Median $707.95 Typical High $1,698.24 | Professional | None | $162.18 | $707.95 | $1,698.24 |
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 $81.28 Median $117.49 Typical High $389.05 | Professional | 52 · Reduced service | $81.28 | $117.49 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $46.77 Typical High $154.88 | Professional | 53 · Discontinued | $33.11 | $46.77 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $123.03 Median $173.78 Typical High $575.44 | Professional | 54 · Surgery only | $123.03 | $173.78 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $34.67 Typical High $114.82 | Professional | 55 · Aftercare only | $24.55 | $34.67 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.22 Median $23.44 Typical High $77.62 | Professional | 56 · Pre-op care only | $16.22 | $23.44 | $77.62 |
Where Georgia sits
The same service costs 17.4 times more in Alabama 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
AL $9,157MT $526
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.