How much rates vary
Facilitymedian $851 · 10th to 90th $407 to $4,266Professionalmedian $316 · 10th to 90th $138 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 $389.05 Median $3,548.13 Typical High $7,585.78 | Facility | None | $389.05 | $3,548.13 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $389.05 Typical High $954.99 | Professional | None | $128.82 | $389.05 | $954.99 |
Anthem BCBS Setting Facility Modifier None Typical Low $389.05 Median $851.14 Typical High $4,570.88 | Facility | None | $389.05 | $851.14 | $4,570.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $158.49 Median $295.12 Typical High $630.96 | Professional | None | $158.49 | $295.12 | $630.96 |
CareSource Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None | $120.23 | $120.23 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $1,023.29 Typical High $1,348.96 | Facility | None | $398.11 | $1,023.29 | $1,348.96 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $316.23 Typical High $870.96 | Professional | None | $151.36 | $316.23 | $870.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $138.04 Median $489.78 Typical High $630.96 | Professional | None | $138.04 | $489.78 | $630.96 |
Oscar Health Setting Professional Modifier None Typical Low $186.21 Median $602.56 Typical High $602.56 | Professional | None | $186.21 | $602.56 | $602.56 |
United Setting Facility Modifier None Typical Low $501.19 Median $724.44 Typical High $3,548.13 | Facility | None | $501.19 | $724.44 | $3,548.13 |
United Setting Professional Modifier None Typical Low $134.90 Median $309.03 Typical High $933.25 | Professional | None | $134.90 | $309.03 | $933.25 |
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 $64.57 Median $186.21 Typical High $218.78 | Professional | 52 · Reduced service | $64.57 | $186.21 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $75.86 Typical High $87.10 | Professional | 53 · Discontinued | $25.70 | $75.86 | $87.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $95.50 Median $281.84 Typical High $323.59 | Professional | 54 · Surgery only | $95.50 | $281.84 | $323.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.50 Median $56.23 Typical High $66.07 | Professional | 55 · Aftercare only | $19.50 | $56.23 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.88 Median $37.15 Typical High $43.65 | Professional | 56 · Pre-op care only | $12.88 | $37.15 | $43.65 |
Where Georgia sits
The same service costs 5.7 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 $4,090MT $722
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.