How much rates vary
Facilitymedian $692 · 10th to 90th $398 to $3,631Professionalmedian $339 · 10th to 90th $182 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 $162.18 Median $3,548.13 Typical High $7,585.78 | Facility | None | $162.18 | $3,548.13 | $7,585.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $30.90 Median $77.62 Typical High $162.18 | Facility | 53 · Discontinued | $30.90 | $77.62 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $323.59 Typical High $776.25 | Professional | None | $154.88 | $323.59 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $81.28 Typical High $213.80 | Professional | 53 · Discontinued | $30.90 | $81.28 | $213.80 |
Ambetter Setting Professional Modifier None Typical Low $213.80 Median $575.44 Typical High $575.44 | Professional | None | $213.80 | $575.44 | $575.44 |
Ambetter Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | 53 · Discontinued | $288.40 | $288.40 | $288.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $380.19 Median $776.25 Typical High $3,630.78 | Facility | None | $380.19 | $776.25 | $3,630.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $204.17 Median $354.81 Typical High $602.56 | Professional | None | $204.17 | $354.81 | $602.56 |
Anthem BCBS Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $158.49 Typical High $302.00 | Professional | 53 · Discontinued | $93.33 | $158.49 | $302.00 |
CareSource Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None | $144.54 | $144.54 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $616.60 Typical High $851.14 | Facility | None | $398.11 | $616.60 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $346.74 Typical High $707.95 | Professional | None | $181.97 | $346.74 | $707.95 |
Cigna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $173.78 Typical High $190.55 | Professional | 53 · Discontinued | $173.78 | $173.78 | $190.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $165.96 Median $416.87 Typical High $630.96 | Professional | None | $165.96 | $416.87 | $630.96 |
Kaiser Permanente Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $181.97 Typical High $251.19 | Professional | 53 · Discontinued | $83.18 | $181.97 | $251.19 |
Oscar Health Setting Professional Modifier None Typical Low $120.23 Median $251.19 Typical High $602.56 | Professional | None | $120.23 | $251.19 | $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 $162.18 Median $331.13 Typical High $776.25 | Professional | None | $162.18 | $331.13 | $776.25 |
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 $77.62 Median $128.82 Typical High $177.83 | Professional | 52 · Reduced service | $77.62 | $128.82 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $114.82 Median $234.42 Typical High $275.42 | Professional | 54 · Surgery only | $114.82 | $234.42 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $46.77 Typical High $54.95 | Professional | 55 · Aftercare only | $23.44 | $46.77 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $31.62 Typical High $37.15 | Professional | 56 · Pre-op care only | $15.49 | $31.62 | $37.15 |
Ambetter Setting Professional Modifier 33 · Preventive service Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | 33 · Preventive service | $575.44 | $575.44 | $575.44 |
Where Georgia sits
The same service costs 4.7 times more in Connecticut than in North Dakota. 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
CT $3,190ND $672
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.