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 $77.62 Median $5,370.32 Typical High $7,943.28 | Facility | None | $77.62 | $5,370.32 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $77.62 Typical High $77.62 | Professional | None | $74.13 | $77.62 | $77.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,148.15 Median $4,365.16 Typical High $20,417.38 | Facility | None | $1,148.15 | $4,365.16 | $20,417.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $72.44 Median $501.19 Typical High $4,168.69 | Professional | None | $72.44 | $501.19 | $4,168.69 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $549.54 Typical High $3,235.94 | Facility | None | $501.19 | $549.54 | $3,235.94 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,162.28 Median $3,311.31 Typical High $5,248.07 | Professional | None | $3,162.28 | $3,311.31 | $5,248.07 |
United Setting Facility Modifier None Typical Low $371.54 Median $645.65 Typical High $3,981.07 | Facility | None | $371.54 | $645.65 | $3,981.07 |
United Setting Professional Modifier None Typical Low $85.11 Median $123.03 Typical High $6,309.57 | Professional | None | $85.11 | $123.03 | $6,309.57 |
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 $37.15 Median $38.90 Typical High $38.90 | Professional | 52 · Reduced service | $37.15 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $15.49 Typical High $15.49 | Professional | 53 · Discontinued | $14.79 | $15.49 | $15.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $11.75 Typical High $11.75 | Professional | 55 · Aftercare only | $11.22 | $11.75 | $11.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $7.76 Typical High $7.76 | Professional | 56 · Pre-op care only | $7.41 | $7.76 | $7.76 |
Where Georgia sits
The same service costs 30.9 times more in California than in Idaho. 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· 24th of 51
$589
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.