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 $549.54 Median $4,897.79 Typical High $7,943.28 | Facility | None | $549.54 | $4,897.79 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $588.84 Typical High $1,445.44 | Professional | None | $269.15 | $588.84 | $1,445.44 |
Ambetter Setting Professional Modifier None Typical Low $489.78 Median $812.83 Typical High $1,230.27 | Professional | None | $489.78 | $812.83 | $1,230.27 |
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 $398.11 Median $630.96 Typical High $1,023.29 | Professional | None | $398.11 | $630.96 | $1,023.29 |
CareSource Setting Professional Modifier None Typical Low $575.44 Median $616.60 Typical High $691.83 | Professional | None | $575.44 | $616.60 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $489.78 Typical High $660.69 | Facility | None | $371.54 | $489.78 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $602.56 Typical High $1,258.93 | Professional | None | $288.40 | $602.56 | $1,258.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $288.40 Median $707.95 Typical High $1,148.15 | Professional | None | $288.40 | $707.95 | $1,148.15 |
Oscar Health Setting Professional Modifier None Typical Low $398.11 Median $794.33 Typical High $912.01 | Professional | None | $398.11 | $794.33 | $912.01 |
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 $338.84 Median $707.95 Typical High $1,479.11 | Professional | None | $338.84 | $707.95 | $1,479.11 |
2 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 54 · Surgery only Typical Low $204.17 Median $380.19 Typical High $489.78 | Professional | 54 · Surgery only | $204.17 | $380.19 | $489.78 |
Ambetter Setting Professional Modifier 79 · Unrelated procedure after surgery Typical Low $1,071.52 Median $1,230.27 Typical High $1,230.27 | Professional | 79 · Unrelated procedure after surgery | $1,071.52 | $1,230.27 | $1,230.27 |
Where Georgia sits
The same service costs 3.1 times more in Alaska than in Maryland. 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· 16th of 51
$617
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.