How much rates vary
Facilitymedian $1,549 · 10th to 90th $550 to $5,012Professionalmedian $617 · 10th to 90th $214 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 $213.80 Median $3,630.78 Typical High $7,585.78 | Facility | None | $213.80 | $3,630.78 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $776.25 Typical High $1,905.46 | Professional | None | $204.17 | $776.25 | $1,905.46 |
Ambetter Setting Professional Modifier None Typical Low $229.09 Median $346.74 Typical High $1,584.89 | Professional | None | $229.09 | $346.74 | $1,584.89 |
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 $575.44 Typical High $1,548.82 | Professional | None | $223.87 | $575.44 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $1,995.26 Typical High $2,454.71 | Facility | None | $537.03 | $1,995.26 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $660.69 Typical High $1,737.80 | Professional | None | $234.42 | $660.69 | $1,737.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $208.93 Median $776.25 Typical High $1,548.82 | Professional | None | $208.93 | $776.25 | $1,548.82 |
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 $213.80 Median $724.44 Typical High $2,187.76 | Professional | None | $213.80 | $724.44 | $2,187.76 |
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 $102.33 Median $389.05 Typical High $467.74 | Professional | 52 · Reduced service | $102.33 | $389.05 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $154.88 Typical High $186.21 | Professional | 53 · Discontinued | $41.69 | $154.88 | $186.21 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $154.88 Median $588.84 Typical High $707.95 | Professional | 54 · Surgery only | $154.88 | $588.84 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $117.49 Typical High $141.25 | Professional | 55 · Aftercare only | $30.90 | $117.49 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $77.62 Typical High $93.33 | Professional | 56 · Pre-op care only | $20.42 | $77.62 | $93.33 |
Where Georgia sits
The same service costs 3.8 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 $5,124MT $1,344
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.