How much rates vary
Facilitymedian $1,549 · 10th to 90th $417 to $6,026Professionalmedian $661 · 10th to 90th $407 to $1,122
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 $489.78 Median $3,548.13 Typical High $7,585.78 | Facility | None | $489.78 | $3,548.13 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $489.78 Typical High $575.44 | Professional | None | $398.11 | $489.78 | $575.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $389.05 Median $1,122.02 Typical High $7,244.36 | Facility | None | $389.05 | $1,122.02 | $7,244.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $407.38 Median $660.69 Typical High $1,122.02 | Professional | None | $407.38 | $660.69 | $1,122.02 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $707.95 Median $1,023.29 Typical High $1,698.24 | Professional | 50 · Both sides | $707.95 | $1,023.29 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $3,981.07 Typical High $5,128.61 | Facility | None | $398.11 | $3,981.07 | $5,128.61 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $707.95 Typical High $1,288.25 | Professional | None | $457.09 | $707.95 | $1,288.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $407.38 Median $575.44 Typical High $954.99 | Professional | None | $407.38 | $575.44 | $954.99 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,479.11 Typical High $5,011.87 | Facility | None | $851.14 | $1,479.11 | $5,011.87 |
United Setting Professional Modifier None Typical Low $407.38 Median $691.83 Typical High $1,258.93 | Professional | None | $407.38 | $691.83 | $1,258.93 |
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 $199.53 Median $239.88 Typical High $288.40 | Professional | 52 · Reduced service | $199.53 | $239.88 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $95.50 Typical High $114.82 | Professional | 53 · Discontinued | $79.43 | $95.50 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $302.00 Median $363.08 Typical High $436.52 | Professional | 54 · Surgery only | $302.00 | $363.08 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $72.44 Typical High $87.10 | Professional | 55 · Aftercare only | $60.26 | $72.44 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $47.86 Typical High $57.54 | Professional | 56 · Pre-op care only | $39.81 | $47.86 | $57.54 |
Where Georgia sits
The same service costs 5.7 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 $7,406MT $1,308
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.