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 $14.13 Median $5,370.32 Typical High $7,585.78 | Facility | None | $14.13 | $5,370.32 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $18.62 Typical High $44.67 | Professional | None | $14.13 | $18.62 | $44.67 |
Ambetter Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None | $33.88 | $33.88 | $33.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $7,943.28 Median $7,943.28 Typical High $7,943.28 | Facility | None | $7,943.28 | $7,943.28 | $7,943.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $16.98 Median $22.39 Typical High $36.31 | Professional | None | $16.98 | $22.39 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $2,398.83 Typical High $4,265.80 | Facility | None | $50.12 | $2,398.83 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $29.51 Typical High $36.31 | Professional | None | $13.80 | $29.51 | $36.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $14.79 Median $20.42 Typical High $43.65 | Professional | None | $14.79 | $20.42 | $43.65 |
Oscar Health Setting Professional Modifier None Typical Low $18.62 Median $22.91 Typical High $35.48 | Professional | None | $18.62 | $22.91 | $35.48 |
United Setting Facility Modifier None Typical Low $79.43 Median $158.49 Typical High $1,778.28 | Facility | None | $79.43 | $158.49 | $1,778.28 |
United Setting Professional Modifier None Typical Low $16.98 Median $25.70 Typical High $46.77 | Professional | None | $16.98 | $25.70 | $46.77 |
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 $7.08 Median $7.94 Typical High $9.77 | Professional | 52 · Reduced service | $7.08 | $7.94 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $3.16 Typical High $3.89 | Professional | 53 · Discontinued | $2.82 | $3.16 | $3.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $10.47 Median $11.75 Typical High $14.45 | Professional | 54 · Surgery only | $10.47 | $11.75 | $14.45 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.09 Median $2.34 Typical High $2.88 | Professional | 55 · Aftercare only | $2.09 | $2.34 | $2.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.41 Median $1.58 Typical High $1.95 | Professional | 56 · Pre-op care only | $1.41 | $1.58 | $1.95 |
Where Georgia sits
The same service costs 3.9 times more in Alaska than in New Jersey. 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· 21st of 51
$22.91
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.