How much rates vary
Facilitymedian $1,660 · 10th to 90th $692 to $6,607Professionalmedian $759 · 10th to 90th $457 to $1,288
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 $478.63 Median $5,370.32 Typical High $7,943.28 | Facility | None | $478.63 | $5,370.32 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $562.34 Typical High $1,318.26 | Professional | None | $478.63 | $562.34 | $1,318.26 |
Ambetter Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $870.96 | Professional | None | $812.83 | $812.83 | $870.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $691.83 Median $1,348.96 Typical High $7,244.36 | Facility | None | $691.83 | $1,348.96 | $7,244.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $436.52 Median $724.44 Typical High $1,174.90 | Professional | None | $436.52 | $724.44 | $1,174.90 |
CareSource Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | None | $436.52 | $436.52 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $4,265.80 Typical High $5,754.40 | Facility | None | $630.96 | $4,265.80 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $851.14 Typical High $1,412.54 | Professional | None | $562.34 | $851.14 | $1,412.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $489.78 Median $562.34 Typical High $2,238.72 | Professional | None | $489.78 | $562.34 | $2,238.72 |
Oscar Health Setting Professional Modifier None Typical Low $446.68 Median $758.58 Typical High $1,000.00 | Professional | None | $446.68 | $758.58 | $1,000.00 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,479.11 Typical High $5,011.87 | Facility | None | $851.14 | $1,479.11 | $5,011.87 |
United Setting Professional Modifier None Typical Low $478.63 Median $794.33 Typical High $1,513.56 | Professional | None | $478.63 | $794.33 | $1,513.56 |
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 $239.88 Median $239.88 Typical High $288.40 | Professional | 52 · Reduced service | $239.88 | $239.88 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $95.50 Typical High $114.82 | Professional | 53 · Discontinued | $95.50 | $95.50 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $354.81 Median $354.81 Typical High $426.58 | Professional | 54 · Surgery only | $354.81 | $354.81 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $70.79 Typical High $85.11 | Professional | 55 · Aftercare only | $70.79 | $70.79 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $47.86 Typical High $57.54 | Professional | 56 · Pre-op care only | $47.86 | $47.86 | $57.54 |
Ambetter Setting Professional Modifier 51 · Multiple procedures Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | 51 · Multiple procedures | $436.52 | $436.52 | $436.52 |
Where Georgia sits
The same service costs 5.9 times more in Alaska 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
AK $8,723MT $1,483
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.