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 $53.70 Median $5,370.32 Typical High $7,585.78 | Facility | None | $53.70 | $5,370.32 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $125.89 Typical High $331.13 | Professional | None | $53.70 | $125.89 | $331.13 |
Ambetter Setting Professional Modifier None Typical Low $47.86 Median $123.03 Typical High $123.03 | Professional | None | $47.86 | $123.03 | $123.03 |
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 $69.18 Median $112.20 Typical High $234.42 | Professional | None | $69.18 | $112.20 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $109.65 Typical High $316.23 | Facility | None | $79.43 | $109.65 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $57.54 Median $120.23 Typical High $269.15 | Professional | None | $57.54 | $120.23 | $269.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $57.54 Median $147.91 Typical High $194.98 | Professional | None | $57.54 | $147.91 | $194.98 |
Oscar Health Setting Professional Modifier None Typical Low $77.62 Median $169.82 Typical High $194.98 | Professional | None | $77.62 | $169.82 | $194.98 |
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 $69.18 Median $144.54 Typical High $316.23 | Professional | None | $69.18 | $144.54 | $316.23 |
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 $26.92 Median $57.54 Typical High $72.44 | Professional | 52 · Reduced service | $26.92 | $57.54 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $22.91 Typical High $29.51 | Professional | 53 · Discontinued | $10.96 | $22.91 | $29.51 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $40.74 Median $85.11 Typical High $109.65 | Professional | 54 · Surgery only | $40.74 | $85.11 | $109.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $16.98 Typical High $21.88 | Professional | 55 · Aftercare only | $8.13 | $16.98 | $21.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $11.48 Typical High $14.45 | Professional | 56 · Pre-op care only | $5.37 | $11.48 | $14.45 |
Where Georgia sits
The same service costs 3.1 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· 24th of 51
$123
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.