How much rates vary
Facilitymedian $575 · 10th to 90th $347 to $3,548Professionalmedian $178 · 10th to 90th $110 to $347
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 $128.82 Median $2,754.23 Typical High $7,413.10 | Facility | None | $128.82 | $2,754.23 | $7,413.10 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $177.83 Typical High $446.68 | Professional | None | $114.82 | $177.83 | $446.68 |
Ambetter Setting Professional Modifier None Typical Low $162.18 Median $194.98 Typical High $346.74 | Professional | None | $162.18 | $194.98 | $346.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $371.54 Median $758.58 Typical High $3,630.78 | Facility | None | $371.54 | $758.58 | $3,630.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $107.15 Median $154.88 Typical High $316.23 | Professional | None | $107.15 | $154.88 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $467.74 Typical High $660.69 | Facility | None | $354.81 | $467.74 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $234.42 Typical High $426.58 | Professional | None | $128.82 | $234.42 | $426.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $131.83 Median $213.80 Typical High $363.08 | Professional | None | $131.83 | $213.80 | $363.08 |
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 $117.49 Median $204.17 Typical High $380.19 | Professional | None | $117.49 | $204.17 | $380.19 |
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 $57.54 Median $79.43 Typical High $95.50 | Professional | 52 · Reduced service | $57.54 | $79.43 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $31.62 Typical High $38.02 | Professional | 53 · Discontinued | $22.91 | $31.62 | $38.02 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $87.10 Median $120.23 Typical High $141.25 | Professional | 54 · Surgery only | $87.10 | $120.23 | $141.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $23.99 Typical High $28.18 | Professional | 55 · Aftercare only | $17.38 | $23.99 | $28.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $15.85 Typical High $19.05 | Professional | 56 · Pre-op care only | $11.48 | $15.85 | $19.05 |
Where Georgia sits
The same service costs 6.3 times more in New York 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
NY $2,712MT $427
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.