How much rates vary
Facilitymedian $2,754 · 10th to 90th $724 to $7,762Professionalmedian $891 · 10th to 90th $562 to $1,698
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 $794.33 Median $6,760.83 Typical High $10,964.78 | Facility | None | $794.33 | $6,760.83 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $851.14 Typical High $1,995.26 | Professional | None | $741.31 | $851.14 | $1,995.26 |
Ambetter Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $1,122.02 | Professional | None | $398.11 | $398.11 | $1,122.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $691.83 Median $1,380.38 Typical High $7,244.36 | Facility | None | $691.83 | $1,380.38 | $7,244.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $562.34 Median $891.25 Typical High $1,445.44 | Professional | None | $562.34 | $891.25 | $1,445.44 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $891.25 Median $1,318.26 Typical High $2,187.76 | Professional | 50 · Both sides | $891.25 | $1,318.26 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $4,570.88 Typical High $5,888.44 | Facility | None | $602.56 | $4,570.88 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $1,096.48 Typical High $1,778.28 | Professional | None | $676.08 | $1,096.48 | $1,778.28 |
Kaiser Permanente Setting Professional Modifier None Typical Low $645.65 Median $724.44 Typical High $4,466.84 | Professional | None | $645.65 | $724.44 | $4,466.84 |
Oscar Health Setting Professional Modifier None Typical Low $794.33 Median $977.24 Typical High $1,096.48 | Professional | None | $794.33 | $977.24 | $1,096.48 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $2,884.03 Typical High $8,709.64 | Facility | None | $1,258.93 | $2,884.03 | $8,709.64 |
United Setting Professional Modifier None Typical Low $707.95 Median $1,023.29 Typical High $1,819.70 | Professional | None | $707.95 | $1,023.29 | $1,819.70 |
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 $380.19 Median $380.19 Typical High $436.52 | Professional | 52 · Reduced service | $380.19 | $380.19 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $151.36 Typical High $173.78 | Professional | 53 · Discontinued | $151.36 | $151.36 | $173.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $575.44 Median $575.44 Typical High $645.65 | Professional | 54 · Surgery only | $575.44 | $575.44 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $114.82 Typical High $128.82 | Professional | 55 · Aftercare only | $114.82 | $114.82 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $75.86 Typical High $87.10 | Professional | 56 · Pre-op care only | $75.86 | $75.86 | $87.10 |
Where Georgia sits
The same service costs 5.9 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 $12,304MT $2,095
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.