How much rates vary
Facilitymedian $776 · 10th to 90th $380 to $3,715Professionalmedian $832 · 10th to 90th $129 to $2,344
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 $831.76 Median $5,011.87 Typical High $7,943.28 | Facility | None | $831.76 | $5,011.87 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $870.96 Typical High $1,412.54 | Professional | None | $117.49 | $870.96 | $1,412.54 |
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 $154.88 Median $851.14 Typical High $2,089.30 | Professional | None | $154.88 | $851.14 | $2,089.30 |
CareSource Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $891.25 Typical High $1,995.26 | Facility | None | $602.56 | $891.25 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $363.08 Typical High $2,818.38 | Professional | None | $138.04 | $363.08 | $2,818.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $123.03 Median $977.24 Typical High $1,584.89 | Professional | None | $123.03 | $977.24 | $1,584.89 |
United Setting Facility Modifier None Typical Low $331.13 Median $501.19 Typical High $2,454.71 | Facility | None | $331.13 | $501.19 | $2,454.71 |
United Setting Professional Modifier None Typical Low $125.89 Median $977.24 Typical High $2,754.23 | Professional | None | $125.89 | $977.24 | $2,754.23 |
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 $58.88 Median $371.54 Typical High $707.95 | Professional | 52 · Reduced service | $58.88 | $371.54 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $147.91 Typical High $281.84 | Professional | 53 · Discontinued | $23.44 | $147.91 | $281.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $87.10 Median $562.34 Typical High $1,047.13 | Professional | 54 · Surgery only | $87.10 | $562.34 | $1,047.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $112.20 Typical High $208.93 | Professional | 55 · Aftercare only | $17.38 | $112.20 | $208.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $74.13 Typical High $141.25 | Professional | 56 · Pre-op care only | $11.75 | $74.13 | $141.25 |
Where Georgia sits
The same service costs 5.5 times more in Hawaii than in Maryland. 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
HI $4,440MD $808
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.