How much rates vary
Facilitymedian $1,549 · 10th to 90th $417 to $5,888Professionalmedian $589 · 10th to 90th $363 to $1,023
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 $436.52 Median $3,548.13 Typical High $7,585.78 | Facility | None | $436.52 | $3,548.13 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $436.52 Typical High $512.86 | Professional | None | $354.81 | $436.52 | $512.86 |
Ambetter Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None | $426.58 | $426.58 | $426.58 |
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 $371.54 Median $588.84 Typical High $1,000.00 | Professional | None | $371.54 | $588.84 | $1,000.00 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $630.96 Median $891.25 Typical High $1,513.56 | Professional | 50 · Both sides | $630.96 | $891.25 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $3,019.95 Typical High $3,801.89 | Facility | None | $398.11 | $3,019.95 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $630.96 Typical High $1,148.15 | Professional | None | $407.38 | $630.96 | $1,148.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $346.74 Median $524.81 Typical High $758.58 | Professional | None | $346.74 | $524.81 | $758.58 |
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 $363.08 Median $630.96 Typical High $1,122.02 | Professional | None | $363.08 | $630.96 | $1,122.02 |
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 $177.83 Median $213.80 Typical High $257.04 | Professional | 52 · Reduced service | $177.83 | $213.80 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $85.11 Typical High $102.33 | Professional | 53 · Discontinued | $70.79 | $85.11 | $102.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $269.15 Median $323.59 Typical High $389.05 | Professional | 54 · Surgery only | $269.15 | $323.59 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $64.57 Typical High $77.62 | Professional | 55 · Aftercare only | $53.70 | $64.57 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $42.66 Typical High $51.29 | Professional | 56 · Pre-op care only | $35.48 | $42.66 | $51.29 |
Where Georgia sits
The same service costs 6.3 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 $7,350MT $1,166
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.