How much rates vary
Facilitymedian $1,862 · 10th to 90th $631 to $6,310Professionalmedian $794 · 10th to 90th $224 to $2,692
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 $213.80 Median $4,897.79 Typical High $7,585.78 | Facility | None | $213.80 | $4,897.79 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $912.01 Typical High $3,019.95 | Professional | None | $199.53 | $912.01 | $3,019.95 |
Ambetter Setting Professional Modifier None Typical Low $263.03 Median $338.84 Typical High $1,737.80 | Professional | None | $263.03 | $338.84 | $1,737.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $575.44 Median $1,148.15 Typical High $5,754.40 | Facility | None | $575.44 | $1,148.15 | $5,754.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $257.04 Median $794.33 Typical High $2,691.53 | Professional | None | $257.04 | $794.33 | $2,691.53 |
CareSource Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None | $181.97 | $181.97 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $2,089.30 Typical High $2,818.38 | Facility | None | $891.25 | $2,089.30 | $2,818.38 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $602.56 Typical High $2,570.40 | Professional | None | $234.42 | $602.56 | $2,570.40 |
Kaiser Permanente Setting Professional Modifier None Typical Low $204.17 Median $1,096.48 Typical High $4,786.30 | Professional | None | $204.17 | $1,096.48 | $4,786.30 |
Oscar Health Setting Professional Modifier None Typical Low $281.84 Median $478.63 Typical High $1,479.11 | Professional | None | $281.84 | $478.63 | $1,479.11 |
United Setting Facility Modifier None Typical Low $954.99 Median $1,995.26 Typical High $7,585.78 | Facility | None | $954.99 | $1,995.26 | $7,585.78 |
United Setting Professional Modifier None Typical Low $213.80 Median $1,023.29 Typical High $2,818.38 | Professional | None | $213.80 | $1,023.29 | $2,818.38 |
1 more rate 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 54 · Surgery only Typical Low $147.91 Median $645.65 Typical High $933.25 | Professional | 54 · Surgery only | $147.91 | $645.65 | $933.25 |
Where Georgia sits
The same service costs 3.5 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 $7,057MT $2,039
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.