How much rates vary
Facilitymedian $2,754 · 10th to 90th $1,000 to $7,586Professionalmedian $1,445 · 10th to 90th $933 to $2,344
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 $977.24 Median $7,079.46 Typical High $12,302.69 | Facility | None | $977.24 | $7,079.46 | $12,302.69 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $1,023.29 Typical High $2,398.83 | Professional | None | $977.24 | $1,023.29 | $2,398.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $954.99 Median $1,698.24 Typical High $7,244.36 | Facility | None | $954.99 | $1,698.24 | $7,244.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $891.25 Median $1,445.44 Typical High $2,238.72 | Professional | None | $891.25 | $1,445.44 | $2,238.72 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,584.89 Median $2,137.96 Typical High $3,388.44 | Professional | 50 · Both sides | $1,584.89 | $2,137.96 | $3,388.44 |
Cigna Setting Facility Modifier None Typical Low $1,122.02 Median $3,467.37 Typical High $4,677.35 | Facility | None | $1,122.02 | $3,467.37 | $4,677.35 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,659.59 Typical High $2,691.53 | Professional | None | $1,122.02 | $1,659.59 | $2,691.53 |
Kaiser Permanente Setting Professional Modifier None Typical Low $933.25 Median $1,148.15 Typical High $3,019.95 | Professional | None | $933.25 | $1,148.15 | $3,019.95 |
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 $1,047.13 Median $1,513.56 Typical High $2,570.40 | Professional | None | $1,047.13 | $1,513.56 | $2,570.40 |
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 $489.78 Median $489.78 Typical High $562.34 | Professional | 52 · Reduced service | $489.78 | $489.78 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $194.98 Typical High $229.09 | Professional | 53 · Discontinued | $194.98 | $194.98 | $229.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $724.44 Median $724.44 Typical High $851.14 | Professional | 54 · Surgery only | $724.44 | $724.44 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $144.54 Typical High $169.82 | Professional | 55 · Aftercare only | $144.54 | $144.54 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $97.72 Typical High $114.82 | Professional | 56 · Pre-op care only | $97.72 | $97.72 | $114.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $676.08 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $676.08 | $676.08 | $794.33 |
Where Georgia sits
The same service costs 3.6 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 $11,248MT $3,134
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.