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 $1,819.70 Median $2,137.96 Typical High $2,187.76 | Facility | None | $1,819.70 | $2,137.96 | $2,187.76 |
Aetna Setting Professional Modifier None Typical Low $1,819.70 Median $2,137.96 Typical High $2,344.23 | Professional | None | $1,819.70 | $2,137.96 | $2,344.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $691.83 Median $1,348.96 Typical High $7,244.36 | Facility | None | $691.83 | $1,348.96 | $7,244.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,737.80 Median $2,754.23 Typical High $4,168.69 | Professional | None | $1,737.80 | $2,754.23 | $4,168.69 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $3,090.30 Median $4,466.84 Typical High $6,456.54 | Professional | 50 · Both sides | $3,090.30 | $4,466.84 | $6,456.54 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,174.90 Typical High $2,511.89 | Facility | None | $602.56 | $1,174.90 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $2,290.87 Median $3,467.37 Typical High $4,897.79 | Professional | None | $2,290.87 | $3,467.37 | $4,897.79 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,778.28 Median $2,754.23 Typical High $6,918.31 | Professional | None | $1,778.28 | $2,754.23 | $6,918.31 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $2,884.03 Typical High $8,709.64 | Facility | None | $1,258.93 | $2,884.03 | $8,709.64 |
United Setting Professional Modifier None Typical Low $1,905.46 Median $3,162.28 Typical High $5,011.87 | Professional | None | $1,905.46 | $3,162.28 | $5,011.87 |
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 $912.01 Median $1,071.52 Typical High $1,174.90 | Professional | 52 · Reduced service | $912.01 | $1,071.52 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $363.08 Median $436.52 Typical High $467.74 | Professional | 53 · Discontinued | $363.08 | $436.52 | $467.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $269.15 Median $323.59 Typical High $354.81 | Professional | 55 · Aftercare only | $269.15 | $323.59 | $354.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $181.97 Median $213.80 Typical High $234.42 | Professional | 56 · Pre-op care only | $181.97 | $213.80 | $234.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,258.93 Median $1,513.56 Typical High $1,659.59 | Professional | 78 · Unplanned return to OR | $1,258.93 | $1,513.56 | $1,659.59 |
Where Georgia sits
The same service costs 5.5 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
$2,692
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.