How much rates vary
Facilitymedian $933 · 10th to 90th $513 to $4,571Professionalmedian $398 · 10th to 90th $282 to $661
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 $660.69 Median $5,011.87 Typical High $7,943.28 | Facility | None | $660.69 | $5,011.87 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $295.12 Typical High $616.60 | Professional | None | $281.84 | $295.12 | $616.60 |
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 $288.40 Median $398.11 Typical High $630.96 | Professional | None | $288.40 | $398.11 | $630.96 |
CareSource Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None | $257.04 | $257.04 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $1,023.29 Typical High $1,380.38 | Facility | None | $537.03 | $1,023.29 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $524.81 Typical High $831.76 | Professional | None | $331.13 | $524.81 | $831.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $288.40 Median $354.81 Typical High $851.14 | Professional | None | $288.40 | $354.81 | $851.14 |
Oscar Health Setting Professional Modifier None Typical Low $389.05 Median $446.68 Typical High $467.74 | Professional | None | $389.05 | $446.68 | $467.74 |
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 $281.84 Median $467.74 Typical High $891.25 | Professional | None | $281.84 | $467.74 | $891.25 |
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 $141.25 Median $141.25 Typical High $177.83 | Professional | 52 · Reduced service | $141.25 | $141.25 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $70.79 | Professional | 53 · Discontinued | $56.23 | $56.23 | $70.79 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $208.93 Median $208.93 Typical High $263.03 | Professional | 54 · Surgery only | $208.93 | $208.93 | $263.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $41.69 Typical High $52.48 | Professional | 55 · Aftercare only | $41.69 | $41.69 | $52.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $28.18 Typical High $35.48 | Professional | 56 · Pre-op care only | $28.18 | $28.18 | $35.48 |
Where Georgia sits
The same service costs 5.2 times more in Oklahoma 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
OK $4,508MT $873
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.