How much rates vary
Facilitymedian $3,981 · 10th to 90th $550 to $20,893Professionalmedian $1,698 · 10th to 90th $1,000 to $2,754
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 $1,778.28 Median $7,762.47 Typical High $13,803.84 | Facility | None | $1,778.28 | $7,762.47 | $13,803.84 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $1,096.48 Typical High $7,585.78 | Professional | None | $977.24 | $1,096.48 | $7,585.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,288.25 Median $2,344.23 Typical High $16,218.10 | Facility | None | $1,288.25 | $2,344.23 | $16,218.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,000.00 Median $1,737.80 Typical High $2,454.71 | Professional | None | $1,000.00 | $1,737.80 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $549.54 Typical High $1,995.26 | Facility | None | $426.58 | $549.54 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $1,230.27 Median $1,995.26 Typical High $3,548.13 | Professional | None | $1,230.27 | $1,995.26 | $3,548.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,071.52 Median $1,174.90 Typical High $6,025.60 | Professional | None | $1,071.52 | $1,174.90 | $6,025.60 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $12,882.50 Typical High $25,703.96 | Facility | None | $1,513.56 | $12,882.50 | $25,703.96 |
United Setting Professional Modifier None Typical Low $1,122.02 Median $1,819.70 Typical High $3,311.31 | Professional | None | $1,122.02 | $1,819.70 | $3,311.31 |
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 $489.78 Median $501.19 Typical High $575.44 | Professional | 52 · Reduced service | $489.78 | $501.19 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $204.17 Typical High $229.09 | Professional | 53 · Discontinued | $199.53 | $204.17 | $229.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $758.58 Typical High $870.96 | Professional | 54 · Surgery only | $741.31 | $758.58 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $151.36 Typical High $173.78 | Professional | 55 · Aftercare only | $147.91 | $151.36 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $100.00 Typical High $114.82 | Professional | 56 · Pre-op care only | $97.72 | $100.00 | $114.82 |
Where Georgia sits
The same service costs 8.1 times more in Indiana than in Kentucky. 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
IN $23,026KY $2,834
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.