How much rates vary
Facilitymedian $5,248 · 10th to 90th $562 to $35,481Professionalmedian $759 · 10th to 90th $501 to $1,413
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 $588.84 Median $5,011.87 Typical High $7,943.28 | Facility | None | $588.84 | $5,011.87 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $575.44 Typical High $1,412.54 | Professional | None | $537.03 | $575.44 | $1,412.54 |
Ambetter Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None | $1,023.29 | $1,023.29 | $1,023.29 |
Anthem BCBS Setting Facility Modifier None Typical Low $512.86 Median $1,621.81 Typical High $15,848.93 | Facility | None | $512.86 | $1,621.81 | $15,848.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $467.74 Median $758.58 Typical High $1,380.38 | Professional | None | $467.74 | $758.58 | $1,380.38 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $812.83 Median $1,122.02 Typical High $2,089.30 | Professional | 50 · Both sides | $812.83 | $1,122.02 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $31,622.78 Typical High $41,686.94 | Facility | None | $537.03 | $31,622.78 | $41,686.94 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $851.14 Typical High $2,290.87 | Professional | None | $537.03 | $851.14 | $2,290.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $575.44 Median $707.95 Typical High $977.24 | Professional | None | $575.44 | $707.95 | $977.24 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $12,882.50 Typical High $25,703.96 | Facility | None | $1,513.56 | $12,882.50 | $25,703.96 |
United Setting Professional Modifier None Typical Low $537.03 Median $794.33 Typical High $1,659.59 | Professional | None | $537.03 | $794.33 | $1,659.59 |
6 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 $269.15 Median $269.15 Typical High $309.03 | Professional | 52 · Reduced service | $269.15 | $269.15 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $107.15 Typical High $123.03 | Professional | 53 · Discontinued | $107.15 | $107.15 | $123.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $407.38 Typical High $457.09 | Professional | 54 · Surgery only | $407.38 | $407.38 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $81.28 Typical High $91.20 | Professional | 55 · Aftercare only | $81.28 | $81.28 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $53.70 Typical High $61.66 | Professional | 56 · Pre-op care only | $53.70 | $53.70 | $61.66 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $380.19 Typical High $426.58 | Professional | 78 · Unplanned return to OR | $380.19 | $380.19 | $426.58 |
Where Georgia sits
The same service costs 24.6 times more in Alaska 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
AK $43,875MT $1,787
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.