How much rates vary
Facilitymedian $4,365 · 10th to 90th $1,148 to $19,953Professionalmedian $933 · 10th to 90th $631 to $1,778
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 $1,202.26 Median $10,000.00 Typical High $33,113.11 | Facility | None | $1,202.26 | $10,000.00 | $33,113.11 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $707.95 Typical High $5,370.32 | Professional | None | $602.56 | $707.95 | $5,370.32 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,047.13 Median $2,137.96 Typical High $20,417.38 | Facility | None | $1,047.13 | $2,137.96 | $20,417.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $630.96 Median $912.01 Typical High $1,548.82 | Professional | None | $630.96 | $912.01 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $7,943.28 Median $10,000.00 Typical High $21,379.62 | Facility | None | $7,943.28 | $10,000.00 | $21,379.62 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $1,258.93 Typical High $2,137.96 | Professional | None | $776.25 | $1,258.93 | $2,137.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $794.33 Median $851.14 Typical High $16,218.10 | Professional | None | $794.33 | $851.14 | $16,218.10 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $3,715.35 Typical High $15,848.93 | Facility | None | $1,513.56 | $3,715.35 | $15,848.93 |
United Setting Professional Modifier None Typical Low $691.83 Median $1,071.52 Typical High $2,089.30 | Professional | None | $691.83 | $1,071.52 | $2,089.30 |
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 $302.00 Median $302.00 Typical High $354.81 | Professional | 52 · Reduced service | $302.00 | $302.00 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $120.23 Typical High $141.25 | Professional | 53 · Discontinued | $120.23 | $120.23 | $141.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $457.09 Typical High $537.03 | Professional | 54 · Surgery only | $457.09 | $457.09 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $91.20 Typical High $107.15 | Professional | 55 · Aftercare only | $91.20 | $91.20 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $60.26 Typical High $70.79 | Professional | 56 · Pre-op care only | $60.26 | $60.26 | $70.79 |
Where Georgia sits
The same service costs 9.6 times more in Oklahoma 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
OK $19,472MT $2,030
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.