How much rates vary
Facilitymedian $1,549 · 10th to 90th $550 to $5,012Professionalmedian $501 · 10th to 90th $204 to $1,660
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 $776.25 Median $4,168.69 Typical High $7,585.78 | Facility | None | $776.25 | $4,168.69 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $741.31 Typical High $1,778.28 | Professional | None | $177.83 | $741.31 | $1,778.28 |
Ambetter Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $295.12 | Professional | None | $288.40 | $288.40 | $295.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $512.86 Median $1,000.00 Typical High $4,570.88 | Facility | None | $512.86 | $1,000.00 | $4,570.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $223.87 Median $467.74 Typical High $1,479.11 | Professional | None | $223.87 | $467.74 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,995.26 Typical High $2,454.71 | Facility | None | $524.81 | $1,995.26 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $562.34 Typical High $1,659.59 | Professional | None | $204.17 | $562.34 | $1,659.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $177.83 Median $741.31 Typical High $1,479.11 | Professional | None | $177.83 | $741.31 | $1,479.11 |
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 $194.98 Median $676.08 Typical High $2,089.30 | Professional | None | $194.98 | $676.08 | $2,089.30 |
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 $89.13 Median $371.54 Typical High $446.68 | Professional | 52 · Reduced service | $89.13 | $371.54 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $147.91 Typical High $177.83 | Professional | 53 · Discontinued | $35.48 | $147.91 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $562.34 Typical High $676.08 | Professional | 54 · Surgery only | $134.90 | $562.34 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $112.20 Typical High $134.90 | Professional | 55 · Aftercare only | $26.92 | $112.20 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $74.13 Typical High $89.13 | Professional | 56 · Pre-op care only | $17.78 | $74.13 | $89.13 |
Where Georgia sits
The same service costs 4.0 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 $5,041MT $1,267
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.