How much rates vary
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 $1,862.09 Median $5,370.32 Typical High $10,000.00 | Facility | None | $1,862.09 | $5,370.32 | $10,000.00 |
Aetna Setting Professional Modifier None Typical Low $1,819.70 Median $1,862.09 Typical High $5,370.32 | Professional | None | $1,819.70 | $1,862.09 | $5,370.32 |
Anthem BCBS Setting Facility Modifier None Typical Low $588.84 Median $1,513.56 Typical High $6,309.57 | Facility | None | $588.84 | $1,513.56 | $6,309.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,000.00 Median $2,884.03 Typical High $3,311.31 | Professional | None | $1,000.00 | $2,884.03 | $3,311.31 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $2,570.40 Typical High $3,311.31 | Facility | None | $602.56 | $2,570.40 | $3,311.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,995.26 Median $2,089.30 Typical High $3,311.31 | Professional | None | $1,995.26 | $2,089.30 | $3,311.31 |
United Setting Facility Modifier None Typical Low $954.99 Median $1,995.26 Typical High $7,585.78 | Facility | None | $954.99 | $1,995.26 | $7,585.78 |
United Setting Professional Modifier None Typical Low $1,995.26 Median $3,162.28 Typical High $5,370.32 | Professional | None | $1,995.26 | $3,162.28 | $5,370.32 |
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 $870.96 Median $912.01 Typical High $912.01 | Professional | 52 · Reduced service | $870.96 | $912.01 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $354.81 Median $371.54 Typical High $371.54 | Professional | 53 · Discontinued | $354.81 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,318.26 Median $1,380.38 Typical High $1,380.38 | Professional | 54 · Surgery only | $1,318.26 | $1,380.38 | $1,380.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $263.03 Median $275.42 Typical High $275.42 | Professional | 55 · Aftercare only | $263.03 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $173.78 Median $186.21 Typical High $186.21 | Professional | 56 · Pre-op care only | $173.78 | $186.21 | $186.21 |
Where Georgia sits
The same service costs 15.8 times more in Wisconsin than in Nebraska. 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.
Georgia· 23rd of 51
$2,570
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.