How much rates vary
Facilitymedian $933 · 10th to 90th $513 to $4,571Professionalmedian $263 · 10th to 90th $178 to $501
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 $645.65 Median $5,011.87 Typical High $7,943.28 | Facility | None | $645.65 | $5,011.87 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $186.21 Typical High $512.86 | Professional | None | $177.83 | $186.21 | $512.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $512.86 Median $1,000.00 Typical High $4,570.88 | Facility | None | $512.86 | $1,000.00 | $4,570.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $190.55 Median $263.03 Typical High $446.68 | Professional | None | $190.55 | $263.03 | $446.68 |
CareSource Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,023.29 Typical High $1,380.38 | Facility | None | $524.81 | $1,023.29 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $354.81 Typical High $549.54 | Professional | None | $213.80 | $354.81 | $549.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $190.55 Median $229.09 Typical High $831.76 | Professional | None | $190.55 | $229.09 | $831.76 |
Oscar Health Setting Professional Modifier None Typical Low $269.15 Median $281.84 Typical High $302.00 | Professional | None | $269.15 | $281.84 | $302.00 |
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 $181.97 Median $302.00 Typical High $575.44 | Professional | None | $181.97 | $302.00 | $575.44 |
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 $89.13 Median $89.13 Typical High $112.20 | Professional | 52 · Reduced service | $89.13 | $89.13 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $45.71 | Professional | 53 · Discontinued | $36.31 | $36.31 | $45.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $134.90 Typical High $169.82 | Professional | 54 · Surgery only | $134.90 | $134.90 | $169.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $26.92 Typical High $33.88 | Professional | 55 · Aftercare only | $26.92 | $26.92 | $33.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $17.78 Typical High $22.91 | Professional | 56 · Pre-op care only | $17.78 | $17.78 | $22.91 |
Where Georgia sits
The same service costs 7.3 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 $4,136MT $564
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.