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 $51.29 Median $3,548.13 Typical High $7,585.78 | Facility | None | $51.29 | $3,548.13 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $51.29 Typical High $120.23 | Professional | None | $25.12 | $51.29 | $120.23 |
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 $30.20 Median $54.95 Typical High $100.00 | Professional | None | $30.20 | $54.95 | $100.00 |
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 $25.12 Median $56.23 Typical High $131.83 | Professional | None | $25.12 | $56.23 | $131.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $27.54 Median $74.13 Typical High $234.42 | Professional | None | $27.54 | $74.13 | $234.42 |
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 $31.62 Median $69.18 Typical High $154.88 | Professional | None | $31.62 | $69.18 | $154.88 |
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 $12.59 Median $23.99 Typical High $30.90 | Professional | 52 · Reduced service | $12.59 | $23.99 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $9.55 Typical High $12.30 | Professional | 53 · Discontinued | $5.01 | $9.55 | $12.30 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $18.62 Median $36.31 Typical High $45.71 | Professional | 54 · Surgery only | $18.62 | $36.31 | $45.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.80 Median $7.08 Typical High $9.12 | Professional | 55 · Aftercare only | $3.80 | $7.08 | $9.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.51 Median $4.79 Typical High $6.17 | Professional | 56 · Pre-op care only | $2.51 | $4.79 | $6.17 |
Where Georgia sits
The same service costs 4.0 times more in Alaska than in Texas. 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
$58.88
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.