How much rates vary
Facilitymedian $1,318 · 10th to 90th $562 to $5,012Professionalmedian $263 · 10th to 90th $166 to $1,047
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 $831.76 Median $5,011.87 Typical High $7,943.28 | Facility | None | $831.76 | $5,011.87 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $707.95 Typical High $2,089.30 | Professional | None | $177.83 | $707.95 | $2,089.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $512.86 Median $1,000.00 Typical High $4,570.88 | Facility | None | $512.86 | $1,000.00 | $4,570.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $158.49 Median $245.47 Typical High $501.19 | Professional | None | $158.49 | $245.47 | $501.19 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $281.84 Median $363.08 Typical High $954.99 | Professional | 50 · Both sides | $281.84 | $363.08 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $1,318.26 Typical High $1,737.80 | Facility | None | $776.25 | $1,318.26 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $741.31 Typical High $1,905.46 | Professional | None | $251.19 | $741.31 | $1,905.46 |
Kaiser Permanente Setting Professional Modifier None Typical Low $165.96 Median $977.24 Typical High $2,951.21 | Professional | None | $165.96 | $977.24 | $2,951.21 |
Oscar Health Setting Professional Modifier None Typical Low $199.53 Median $1,023.29 Typical High $1,148.15 | Professional | None | $199.53 | $1,023.29 | $1,148.15 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,479.11 Typical High $5,011.87 | Facility | None | $851.14 | $1,479.11 | $5,011.87 |
United Setting Professional Modifier None Typical Low $186.21 Median $676.08 Typical High $1,737.80 | Professional | None | $186.21 | $676.08 | $1,737.80 |
2 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 54 · Surgery only Typical Low $131.83 Median $208.93 Typical High $794.33 | Professional | 54 · Surgery only | $131.83 | $208.93 | $794.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $123.03 Median $194.98 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $123.03 | $194.98 | $741.31 |
Where Georgia sits
The same service costs 3.5 times more in Colorado 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
CO $4,667MT $1,347
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.