How much rates vary
Facilitymedian $3,236 · 10th to 90th $417 to $12,023Professionalmedian $617 · 10th to 90th $251 to $2,570
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 $630.96 Median $3,548.13 Typical High $7,585.78 | Facility | None | $630.96 | $3,548.13 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $1,122.02 Typical High $2,570.40 | Professional | None | $371.54 | $1,122.02 | $2,570.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $389.05 Median $1,412.54 Typical High $12,882.50 | Facility | None | $389.05 | $1,412.54 | $12,882.50 |
Anthem BCBS Setting Professional Modifier None Typical Low $257.04 Median $616.60 Typical High $1,023.29 | Professional | None | $257.04 | $616.60 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $10,000.00 Typical High $13,182.57 | Facility | None | $398.11 | $10,000.00 | $13,182.57 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $1,071.52 Typical High $9,332.54 | Professional | None | $257.04 | $1,071.52 | $9,332.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $302.00 Median $812.83 Typical High $7,079.46 | Professional | None | $302.00 | $812.83 | $7,079.46 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $3,715.35 Typical High $10,000.00 | Facility | None | $1,513.56 | $3,715.35 | $10,000.00 |
United Setting Professional Modifier None Typical Low $208.93 Median $831.76 Typical High $9,549.93 | Professional | None | $208.93 | $831.76 | $9,549.93 |
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 $186.21 Median $239.88 Typical High $1,288.25 | Professional | 52 · Reduced service | $186.21 | $239.88 | $1,288.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $95.50 Typical High $512.86 | Professional | 53 · Discontinued | $74.13 | $95.50 | $512.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $354.81 Typical High $1,949.84 | Professional | 54 · Surgery only | $275.42 | $354.81 | $1,949.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $70.79 Typical High $389.05 | Professional | 55 · Aftercare only | $56.23 | $70.79 | $389.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $47.86 Typical High $257.04 | Professional | 56 · Pre-op care only | $37.15 | $47.86 | $257.04 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $257.04 Median $331.13 Typical High $1,819.70 | Professional | 78 · Unplanned return to OR | $257.04 | $331.13 | $1,819.70 |
Where Georgia sits
The same service costs 18.4 times more in Alabama 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
AL $30,876MT $1,679
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.