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 $2,041.74 Median $5,370.32 Typical High $7,943.28 | Facility | None | $2,041.74 | $5,370.32 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $2,041.74 Median $2,238.72 Typical High $4,365.16 | Professional | None | $2,041.74 | $2,238.72 | $4,365.16 |
Anthem BCBS Setting Facility Modifier None Typical Low $575.44 Median $1,148.15 Typical High $5,754.40 | Facility | None | $575.44 | $1,148.15 | $5,754.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,089.30 Median $2,570.40 Typical High $5,011.87 | Professional | None | $2,089.30 | $2,570.40 | $5,011.87 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $3,090.30 Median $3,801.89 Typical High $7,585.78 | Professional | 50 · Both sides | $3,090.30 | $3,801.89 | $7,585.78 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $2,238.72 Typical High $2,818.38 | Facility | None | $602.56 | $2,238.72 | $2,818.38 |
Cigna Setting Professional Modifier None Typical Low $1,995.26 Median $4,466.84 Typical High $5,011.87 | Professional | None | $1,995.26 | $4,466.84 | $5,011.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,630.27 Median $3,388.44 Typical High $5,495.41 | Professional | None | $2,630.27 | $3,388.44 | $5,495.41 |
United Setting Facility Modifier None Typical Low $954.99 Median $1,995.26 Typical High $7,585.78 | Facility | None | $954.99 | $1,995.26 | $7,585.78 |
United Setting Professional Modifier None Typical Low $2,238.72 Median $3,548.13 Typical High $6,309.57 | Professional | None | $2,238.72 | $3,548.13 | $6,309.57 |
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 $1,023.29 Median $1,047.13 Typical High $1,288.25 | Professional | 52 · Reduced service | $1,023.29 | $1,047.13 | $1,288.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $407.38 Median $426.58 Typical High $512.86 | Professional | 53 · Discontinued | $407.38 | $426.58 | $512.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,548.82 Median $1,584.89 Typical High $1,949.84 | Professional | 54 · Surgery only | $1,548.82 | $1,584.89 | $1,949.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $309.03 Median $316.23 Typical High $389.05 | Professional | 55 · Aftercare only | $309.03 | $316.23 | $389.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $204.17 Median $213.80 Typical High $257.04 | Professional | 56 · Pre-op care only | $204.17 | $213.80 | $257.04 |
Where Georgia sits
The same service costs 7.1 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· 28th of 51
$2,512
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.