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 $288.40 Median $3,630.78 Typical High $7,943.28 | Facility | None | $288.40 | $3,630.78 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $288.40 Typical High $295.12 | Professional | None | $281.84 | $288.40 | $295.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $398.11 Median $912.01 Typical High $3,801.89 | Facility | None | $398.11 | $912.01 | $3,801.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $234.42 Median $295.12 Typical High $645.65 | Professional | None | $234.42 | $295.12 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,071.52 Typical High $1,513.56 | Facility | None | $602.56 | $1,071.52 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None | $478.63 | $478.63 | $478.63 |
Kaiser Permanente Setting Professional Modifier None Typical Low $346.74 Median $380.19 Typical High $524.81 | Professional | None | $346.74 | $380.19 | $524.81 |
United Setting Facility Modifier None Typical Low $501.19 Median $724.44 Typical High $3,548.13 | Facility | None | $501.19 | $724.44 | $3,548.13 |
United Setting Professional Modifier None Typical Low $295.12 Median $537.03 Typical High $1,047.13 | Professional | None | $295.12 | $537.03 | $1,047.13 |
4 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 $141.25 Median $141.25 Typical High $141.25 | Professional | 52 · Reduced service | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $57.54 Typical High $57.54 | Professional | 53 · Discontinued | $56.23 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | 55 · Aftercare only | $42.66 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $28.84 Typical High $28.84 | Professional | 56 · Pre-op care only | $28.18 | $28.84 | $28.84 |
Where Georgia sits
The same service costs 7.1 times more in Alaska 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.
Georgia· 39th of 51
$295
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.