How much rates vary
Facilitymedian $5,888 · 10th to 90th $550 to $23,988Professionalmedian $537 · 10th to 90th $372 to $1,023
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 $398.11 Median $5,011.87 Typical High $7,943.28 | Facility | None | $398.11 | $5,011.87 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $436.52 Typical High $1,047.13 | Professional | None | $398.11 | $436.52 | $1,047.13 |
Ambetter Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None | $363.08 | $363.08 | $363.08 |
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 $371.54 Median $537.03 Typical High $954.99 | Professional | None | $371.54 | $537.03 | $954.99 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $251.19 Median $363.08 Typical High $602.56 | Professional | 62 · Two surgeons | $251.19 | $363.08 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $17,782.79 Typical High $23,442.29 | Facility | None | $524.81 | $17,782.79 | $23,442.29 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $630.96 Typical High $1,148.15 | Professional | None | $436.52 | $630.96 | $1,148.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $416.87 Median $512.86 Typical High $1,318.26 | Professional | None | $416.87 | $512.86 | $1,318.26 |
United Setting Facility Modifier None Typical Low $1,949.84 Median $13,803.84 Typical High $35,481.34 | Facility | None | $1,949.84 | $13,803.84 | $35,481.34 |
United Setting Professional Modifier None Typical Low $371.54 Median $630.96 Typical High $1,071.52 | Professional | None | $371.54 | $630.96 | $1,071.52 |
7 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 $199.53 Median $199.53 Typical High $229.09 | Professional | 52 · Reduced service | $199.53 | $199.53 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $79.43 Typical High $91.20 | Professional | 53 · Discontinued | $79.43 | $79.43 | $91.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $295.12 Median $295.12 Typical High $346.74 | Professional | 54 · Surgery only | $295.12 | $295.12 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $58.88 Typical High $69.18 | Professional | 55 · Aftercare only | $58.88 | $58.88 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $39.81 Typical High $45.71 | Professional | 56 · Pre-op care only | $39.81 | $39.81 | $45.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $275.42 Median $275.42 Typical High $323.59 | Professional | 78 · Unplanned return to OR | $275.42 | $275.42 | $323.59 |
Ambetter Setting Professional Modifier 51 · Multiple procedures Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | 51 · Multiple procedures | $407.38 | $407.38 | $407.38 |
Where Georgia sits
The same service costs 29.4 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 $37,066MT $1,262
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.