How much rates vary
Facilitymedian $1,445 · 10th to 90th $708 to $5,129Professionalmedian $933 · 10th to 90th $617 to $1,549
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 $1,148.15 Median $5,370.32 Typical High $8,317.64 | Facility | None | $1,148.15 | $5,370.32 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $870.96 Typical High $1,230.27 | Professional | None | $794.33 | $870.96 | $1,230.27 |
Anthem BCBS Setting Facility Modifier None Typical Low $660.69 Median $1,202.26 Typical High $4,570.88 | Facility | None | $660.69 | $1,202.26 | $4,570.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $575.44 Median $933.25 Typical High $1,348.96 | Professional | None | $575.44 | $933.25 | $1,348.96 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,047.13 Median $1,445.44 Typical High $1,995.26 | Professional | 50 · Both sides | $1,047.13 | $1,445.44 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,445.44 Typical High $1,995.26 | Facility | None | $741.31 | $1,445.44 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $1,096.48 Typical High $1,862.09 | Professional | None | $724.44 | $1,096.48 | $1,862.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $707.95 Median $794.33 Typical High $1,445.44 | Professional | None | $707.95 | $794.33 | $1,445.44 |
Oscar Health Setting Professional Modifier None Typical Low $831.76 Median $912.01 Typical High $1,148.15 | Professional | None | $831.76 | $912.01 | $1,148.15 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,479.11 Typical High $5,128.61 | Facility | None | $851.14 | $1,479.11 | $5,128.61 |
United Setting Professional Modifier None Typical Low $645.65 Median $954.99 Typical High $1,905.46 | Professional | None | $645.65 | $954.99 | $1,905.46 |
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 $398.11 Median $407.38 Typical High $446.68 | Professional | 52 · Reduced service | $398.11 | $407.38 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $165.96 Typical High $181.97 | Professional | 53 · Discontinued | $158.49 | $165.96 | $181.97 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $616.60 Typical High $676.08 | Professional | 54 · Surgery only | $602.56 | $616.60 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $123.03 Typical High $134.90 | Professional | 55 · Aftercare only | $120.23 | $123.03 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $83.18 Typical High $91.20 | Professional | 56 · Pre-op care only | $79.43 | $83.18 | $91.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $575.44 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $562.34 | $575.44 | $630.96 |
Where Georgia sits
The same service costs 4.0 times more in Alaska than in Alabama. 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 $6,054AL $1,518
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.