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 $316.23 | Professional | None | $53.70 | $125.89 | $316.23 |
Ambetter Setting Professional Modifier None Typical Low $109.65 Median $234.42 Typical High $257.04 | Professional | None | $109.65 | $234.42 | $257.04 |
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 $66.07 Median $112.20 Typical High $204.17 | Professional | None | $66.07 | $112.20 | $204.17 |
CareSource Setting Professional Modifier None Typical Low $120.23 Median $131.83 Typical High $144.54 | Professional | None | $120.23 | $131.83 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $112.20 Typical High $331.13 | Facility | None | $81.28 | $112.20 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $120.23 Typical High $269.15 | Professional | None | $56.23 | $120.23 | $269.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $57.54 Median $147.91 Typical High $177.83 | Professional | None | $57.54 | $147.91 | $177.83 |
Oscar Health Setting Professional Modifier None Typical Low $79.43 Median $169.82 Typical High $194.98 | Professional | None | $79.43 | $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 $66.07 Median $138.04 Typical High $309.03 | Professional | None | $66.07 | $138.04 | $309.03 |
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 $56.23 Typical High $70.79 | Professional | 52 · Reduced service | $26.92 | $56.23 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $22.39 Typical High $28.18 | Professional | 53 · Discontinued | $10.72 | $22.39 | $28.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $40.74 Median $83.18 Typical High $104.71 | Professional | 54 · Surgery only | $40.74 | $83.18 | $104.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $16.98 Typical High $20.89 | Professional | 55 · Aftercare only | $8.13 | $16.98 | $20.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $11.22 Typical High $14.13 | Professional | 56 · Pre-op care only | $5.37 | $11.22 | $14.13 |
Where Georgia sits
The same service costs 3.2 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· 22nd of 51
$120
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.