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 $63.10 Median $3,548.13 Typical High $7,585.78 | Facility | None | $63.10 | $3,548.13 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $64.57 Typical High $120.23 | Professional | None | $42.66 | $64.57 | $120.23 |
Ambetter Setting Professional Modifier None Typical Low $67.61 Median $123.03 Typical High $131.83 | Professional | None | $67.61 | $123.03 | $131.83 |
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 $48.98 Median $79.43 Typical High $117.49 | Professional | None | $48.98 | $79.43 | $117.49 |
CareSource Setting Professional Modifier None Typical Low $58.88 Median $75.86 Typical High $93.33 | Professional | None | $58.88 | $75.86 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $56.23 Typical High $602.56 | Facility | None | $42.66 | $56.23 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $81.28 Typical High $147.91 | Professional | None | $47.86 | $81.28 | $147.91 |
Kaiser Permanente Setting Professional Modifier None Typical Low $43.65 Median $75.86 Typical High $141.25 | Professional | None | $43.65 | $75.86 | $141.25 |
Oscar Health Setting Professional Modifier None Typical Low $63.10 Median $100.00 Typical High $114.82 | Professional | None | $63.10 | $100.00 | $114.82 |
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 $42.66 Median $75.86 Typical High $151.36 | Professional | None | $42.66 | $75.86 | $151.36 |
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 $21.38 Median $28.84 Typical High $33.88 | Professional | 52 · Reduced service | $21.38 | $28.84 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $11.48 Typical High $13.80 | Professional | 53 · Discontinued | $8.51 | $11.48 | $13.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $31.62 Median $42.66 Typical High $51.29 | Professional | 54 · Surgery only | $31.62 | $42.66 | $51.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.31 Median $8.51 Typical High $10.23 | Professional | 55 · Aftercare only | $6.31 | $8.51 | $10.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.27 Median $5.75 Typical High $6.92 | Professional | 56 · Pre-op care only | $4.27 | $5.75 | $6.92 |
Where Georgia sits
The same service costs 3.5 times more in Alaska than in Florida. 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
$79.43
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.