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 $37.15 Median $3,548.13 Typical High $7,585.78 | Facility | None | $37.15 | $3,548.13 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $37.15 Typical High $97.72 | Professional | None | $19.95 | $37.15 | $97.72 |
Ambetter Setting Professional Modifier None Typical Low $45.71 Median $81.28 Typical High $81.28 | Professional | None | $45.71 | $81.28 | $81.28 |
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 $26.92 Median $42.66 Typical High $72.44 | Professional | None | $26.92 | $42.66 | $72.44 |
CareSource Setting Professional Modifier None Typical Low $40.74 Median $43.65 Typical High $47.86 | Professional | None | $40.74 | $43.65 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $316.23 Typical High $4,265.80 | Facility | None | $50.12 | $316.23 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $44.67 Typical High $89.13 | Professional | None | $21.38 | $44.67 | $89.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $23.99 Median $50.12 Typical High $102.33 | Professional | None | $23.99 | $50.12 | $102.33 |
Oscar Health Setting Facility Modifier None Typical Low $190.55 Median $363.08 Typical High $363.08 | Facility | None | $190.55 | $363.08 | $363.08 |
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 $27.54 Median $52.48 Typical High $107.15 | Professional | None | $27.54 | $52.48 | $107.15 |
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 $10.00 Median $15.14 Typical High $19.05 | Professional | 52 · Reduced service | $10.00 | $15.14 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $6.03 Typical High $7.59 | Professional | 53 · Discontinued | $3.98 | $6.03 | $7.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $14.79 Median $22.39 Typical High $28.84 | Professional | 54 · Surgery only | $14.79 | $22.39 | $28.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.02 Median $4.47 Typical High $5.75 | Professional | 55 · Aftercare only | $3.02 | $4.47 | $5.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.00 Median $3.02 Typical High $3.80 | Professional | 56 · Pre-op care only | $2.00 | $3.02 | $3.80 |
Where Georgia sits
The same service costs 3.5 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· 25th of 51
$45.71
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.