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 $138.04 Median $3,548.13 Typical High $7,585.78 | Facility | None | $138.04 | $3,548.13 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $138.04 Typical High $363.08 | Professional | None | $48.98 | $138.04 | $363.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $380.19 Median $776.25 Typical High $3,630.78 | Facility | None | $380.19 | $776.25 | $3,630.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $61.66 Median $128.82 Typical High $234.42 | Professional | None | $61.66 | $128.82 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $151.36 Typical High $831.76 | Facility | None | $114.82 | $151.36 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $123.03 Typical High $302.00 | Professional | None | $51.29 | $123.03 | $302.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $52.48 Median $169.82 Typical High $630.96 | Professional | None | $52.48 | $169.82 | $630.96 |
Oscar Health Setting Professional Modifier None Typical Low $70.79 Median $190.55 Typical High $218.78 | Professional | None | $70.79 | $190.55 | $218.78 |
United Setting Facility Modifier None Typical Low $331.13 Median $501.19 Typical High $2,454.71 | Facility | None | $331.13 | $501.19 | $2,454.71 |
United Setting Professional Modifier None Typical Low $63.10 Median $151.36 Typical High $363.08 | Professional | None | $63.10 | $151.36 | $363.08 |
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 $24.55 Median $61.66 Typical High $75.86 | Professional | 52 · Reduced service | $24.55 | $61.66 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $24.55 Typical High $30.20 | Professional | 53 · Discontinued | $9.77 | $24.55 | $30.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $37.15 Median $91.20 Typical High $114.82 | Professional | 54 · Surgery only | $37.15 | $91.20 | $114.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.41 Median $18.20 Typical High $22.91 | Professional | 55 · Aftercare only | $7.41 | $18.20 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.90 Median $12.30 Typical High $15.14 | Professional | 56 · Pre-op care only | $4.90 | $12.30 | $15.14 |
Where Georgia sits
The same service costs 2.6 times more in Alaska than in Montana. 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
$151
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.