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 $831.76 Median $5,011.87 Typical High $13,803.84 | Facility | None | $831.76 | $5,011.87 | $13,803.84 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $346.74 Typical High $489.78 | Professional | None | $338.84 | $346.74 | $489.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $588.84 Median $1,513.56 Typical High $8,128.31 | Facility | None | $588.84 | $1,513.56 | $8,128.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $93.33 Median $354.81 Typical High $831.76 | Professional | None | $93.33 | $354.81 | $831.76 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $138.04 Median $537.03 Typical High $1,288.25 | Professional | 50 · Both sides | $138.04 | $537.03 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $2,754.23 Typical High $3,715.35 | Facility | None | $602.56 | $2,754.23 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $2,089.30 | Professional | None | $549.54 | $549.54 | $2,089.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $457.09 Median $524.81 Typical High $724.44 | Professional | None | $457.09 | $524.81 | $724.44 |
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 $346.74 Median $588.84 Typical High $1,778.28 | Professional | None | $346.74 | $588.84 | $1,778.28 |
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 $169.82 Median $173.78 Typical High $173.78 | Professional | 52 · Reduced service | $169.82 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 53 · Discontinued | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $263.03 Typical High $263.03 | Professional | 54 · Surgery only | $257.04 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $52.48 Typical High $52.48 | Professional | 55 · Aftercare only | $51.29 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $34.67 Typical High $34.67 | Professional | 56 · Pre-op care only | $33.88 | $34.67 | $34.67 |
Where Georgia sits
The same service costs 28.2 times more in Texas 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· 33rd of 51
$407
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.