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 $38.90 Median $5,370.32 Typical High $7,585.78 | Facility | None | $38.90 | $5,370.32 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $102.33 Typical High $269.15 | Professional | None | $38.90 | $102.33 | $269.15 |
Ambetter Setting Professional Modifier None Typical Low $154.88 Median $218.78 Typical High $218.78 | Professional | None | $154.88 | $218.78 | $218.78 |
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 $45.71 Median $93.33 Typical High $186.21 | Professional | None | $45.71 | $93.33 | $186.21 |
CareSource Setting Professional Modifier None Typical Low $100.00 Median $109.65 Typical High $120.23 | Professional | None | $100.00 | $109.65 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $102.33 Typical High $295.12 | Facility | None | $74.13 | $102.33 | $295.12 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $89.13 Typical High $223.87 | Professional | None | $39.81 | $89.13 | $223.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $40.74 Median $125.89 Typical High $134.90 | Professional | None | $40.74 | $125.89 | $134.90 |
Oscar Health Setting Professional Modifier None Typical Low $56.23 Median $141.25 Typical High $162.18 | Professional | None | $56.23 | $141.25 | $162.18 |
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 $47.86 Median $109.65 Typical High $257.04 | Professional | None | $47.86 | $109.65 | $257.04 |
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 $19.50 Median $45.71 Typical High $56.23 | Professional | 52 · Reduced service | $19.50 | $45.71 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $18.20 Typical High $22.91 | Professional | 53 · Discontinued | $7.76 | $18.20 | $22.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $29.51 Median $69.18 Typical High $85.11 | Professional | 54 · Surgery only | $29.51 | $69.18 | $85.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.89 Median $13.80 Typical High $16.98 | Professional | 55 · Aftercare only | $5.89 | $13.80 | $16.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.89 Median $9.12 Typical High $11.48 | Professional | 56 · Pre-op care only | $3.89 | $9.12 | $11.48 |
Where Georgia sits
The same service costs 3.5 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· 18th of 51
$107
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.