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 $251.19 Median $5,370.32 Typical High $7,943.28 | Facility | None | $251.19 | $5,370.32 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $251.19 Typical High $295.12 | Professional | None | $123.03 | $251.19 | $295.12 |
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 $144.54 Median $269.15 Typical High $467.74 | Professional | None | $144.54 | $269.15 | $467.74 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $251.19 Median $426.58 Typical High $691.83 | Professional | 50 · Both sides | $251.19 | $426.58 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,905.46 Typical High $2,691.53 | Facility | None | $602.56 | $1,905.46 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $323.59 Typical High $616.60 | Professional | None | $165.96 | $323.59 | $616.60 |
Kaiser Permanente Setting Professional Modifier None Typical Low $141.25 Median $257.04 Typical High $446.68 | Professional | None | $141.25 | $257.04 | $446.68 |
Oscar Health Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None | $398.11 | $398.11 | $398.11 |
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 $151.36 Median $288.40 Typical High $630.96 | Professional | None | $151.36 | $288.40 | $630.96 |
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 $61.66 Median $117.49 Typical High $147.91 | Professional | 52 · Reduced service | $61.66 | $117.49 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $46.77 Typical High $58.88 | Professional | 53 · Discontinued | $24.55 | $46.77 | $58.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $91.20 Median $177.83 Typical High $218.78 | Professional | 54 · Surgery only | $91.20 | $177.83 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $35.48 Typical High $44.67 | Professional | 55 · Aftercare only | $18.20 | $35.48 | $44.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $23.44 Typical High $29.51 | Professional | 56 · Pre-op care only | $12.30 | $23.44 | $29.51 |
Where Georgia sits
The same service costs 5.8 times more in Alaska than in Hawaii. 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· 19th of 51
$309
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.