How much rates vary
Facilitymedian $501 · 10th to 90th $126 to $3,388Professionalmedian $245 · 10th to 90th $138 to $447
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 $138.04 Median $3,548.13 Typical High $7,585.78 | Facility | None | $138.04 | $3,548.13 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $229.09 Typical High $575.44 | Professional | None | $138.04 | $229.09 | $575.44 |
Ambetter Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $141.25 | Professional | None | $128.82 | $128.82 | $141.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $380.19 Median $776.25 Typical High $3,630.78 | Facility | None | $380.19 | $776.25 | $3,630.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $138.04 Median $245.47 Typical High $407.38 | Professional | None | $138.04 | $245.47 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $181.97 Typical High $602.56 | Facility | None | $138.04 | $181.97 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $269.15 Typical High $562.34 | Professional | None | $154.88 | $269.15 | $562.34 |
Kaiser Permanente Setting Professional Modifier None Typical Low $147.91 Median $263.03 Typical High $436.52 | Professional | None | $147.91 | $263.03 | $436.52 |
United Setting Facility Modifier None Typical Low $79.43 Median $158.49 Typical High $1,778.28 | Facility | None | $79.43 | $158.49 | $1,778.28 |
United Setting Professional Modifier None Typical Low $144.54 Median $269.15 Typical High $549.54 | Professional | None | $144.54 | $269.15 | $549.54 |
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 $69.18 Median $104.71 Typical High $141.25 | Professional | 52 · Reduced service | $69.18 | $104.71 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $41.69 Typical High $56.23 | Professional | 53 · Discontinued | $27.54 | $41.69 | $56.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $102.33 Median $154.88 Typical High $208.93 | Professional | 54 · Surgery only | $102.33 | $154.88 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $31.62 Typical High $41.69 | Professional | 55 · Aftercare only | $20.42 | $31.62 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $20.89 Typical High $28.18 | Professional | 56 · Pre-op care only | $13.80 | $20.89 | $28.18 |
Where Georgia sits
The same service costs 8.8 times more in New York than in Alabama. 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
NY $2,761AL $314
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.