How much rates vary
Facilitymedian $871 · 10th to 90th $372 to $4,266Professionalmedian $501 · 10th to 90th $363 to $891
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 $630.96 Median $3,548.13 Typical High $7,585.78 | Facility | None | $630.96 | $3,548.13 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $954.99 | Professional | None | $371.54 | $371.54 | $954.99 |
Anthem BCBS Setting Facility Modifier None Typical Low $389.05 Median $851.14 Typical High $4,570.88 | Facility | None | $389.05 | $851.14 | $4,570.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $363.08 Median $501.19 Typical High $831.76 | Professional | None | $363.08 | $501.19 | $831.76 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $575.44 Median $776.25 Typical High $1,258.93 | Professional | 50 · Both sides | $575.44 | $776.25 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $2,398.83 Typical High $3,019.95 | Facility | None | $398.11 | $2,398.83 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $602.56 Typical High $1,023.29 | Professional | None | $426.58 | $602.56 | $1,023.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $331.13 Median $416.87 Typical High $1,230.27 | Professional | None | $331.13 | $416.87 | $1,230.27 |
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 $389.05 Median $602.56 Typical High $1,122.02 | Professional | None | $389.05 | $602.56 | $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 $186.21 Median $186.21 Typical High $223.87 | Professional | 52 · Reduced service | $186.21 | $186.21 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $74.13 Typical High $89.13 | Professional | 53 · Discontinued | $74.13 | $74.13 | $89.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $281.84 Typical High $338.84 | Professional | 54 · Surgery only | $281.84 | $281.84 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $56.23 Typical High $67.61 | Professional | 55 · Aftercare only | $56.23 | $56.23 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $37.15 Typical High $44.67 | Professional | 56 · Pre-op care only | $37.15 | $37.15 | $44.67 |
Where Georgia sits
The same service costs 5.2 times more in Alaska than in Delaware. 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
AK $4,868DE $935
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.