How much rates vary
Facilitymedian $490 · 10th to 90th $120 to $3,548Professionalmedian $447 · 10th to 90th $282 to $794
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 $371.54 Median $3,548.13 Typical High $7,585.78 | Facility | None | $371.54 | $3,548.13 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $398.11 Typical High $954.99 | Professional | None | $363.08 | $398.11 | $954.99 |
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 $269.15 Median $446.68 Typical High $660.69 | Professional | None | $269.15 | $446.68 | $660.69 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $478.63 Median $660.69 Typical High $1,023.29 | Professional | 50 · Both sides | $478.63 | $660.69 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $208.93 Typical High $501.19 | Facility | None | $151.36 | $208.93 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $446.68 Typical High $851.14 | Professional | None | $338.84 | $446.68 | $851.14 |
Kaiser Permanente Setting Professional Modifier None Typical Low $354.81 Median $407.38 Typical High $645.65 | Professional | None | $354.81 | $407.38 | $645.65 |
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 $302.00 Median $457.09 Typical High $870.96 | Professional | None | $302.00 | $457.09 | $870.96 |
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 $181.97 Median $186.21 Typical High $204.17 | Professional | 52 · Reduced service | $181.97 | $186.21 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $74.13 Typical High $81.28 | Professional | 53 · Discontinued | $72.44 | $74.13 | $81.28 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $269.15 Median $275.42 Typical High $309.03 | Professional | 54 · Surgery only | $269.15 | $275.42 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $54.95 Typical High $61.66 | Professional | 55 · Aftercare only | $53.70 | $54.95 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $37.15 Typical High $40.74 | Professional | 56 · Pre-op care only | $36.31 | $37.15 | $40.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $251.19 Median $257.04 Typical High $288.40 | Professional | 78 · Unplanned return to OR | $251.19 | $257.04 | $288.40 |
Where Georgia sits
The same service costs 7.4 times more in Hawaii than in Florida. 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
HI $3,255FL $440
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.