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 $208.93 Median $3,548.13 Typical High $7,585.78 | Facility | None | $208.93 | $3,548.13 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $190.55 Typical High $239.88 | Professional | None | $46.77 | $190.55 | $239.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $7,943.28 Median $7,943.28 Typical High $7,943.28 | Facility | None | $7,943.28 | $7,943.28 | $7,943.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $43.65 Median $77.62 Typical High $204.17 | Professional | None | $43.65 | $77.62 | $204.17 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $79.43 Median $114.82 Typical High $309.03 | Professional | 50 · Both sides | $79.43 | $114.82 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $165.96 Typical High $478.63 | Professional | None | $54.95 | $165.96 | $478.63 |
Kaiser Permanente Setting Professional Modifier None Typical Low $47.86 Median $263.03 Typical High $380.19 | Professional | None | $47.86 | $263.03 | $380.19 |
United Setting Facility Modifier None Typical Low $691.83 Median $1,778.28 Typical High $2,818.38 | Facility | None | $691.83 | $1,778.28 | $2,818.38 |
United Setting Professional Modifier None Typical Low $47.86 Median $169.82 Typical High $489.78 | Professional | None | $47.86 | $169.82 | $489.78 |
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 $23.44 Median $83.18 Typical High $114.82 | Professional | 52 · Reduced service | $23.44 | $83.18 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $33.11 Typical High $46.77 | Professional | 53 · Discontinued | $9.33 | $33.11 | $46.77 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $35.48 Median $138.04 Typical High $173.78 | Professional | 54 · Surgery only | $35.48 | $138.04 | $173.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.08 Median $24.55 Typical High $34.67 | Professional | 55 · Aftercare only | $7.08 | $24.55 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.68 Median $16.60 Typical High $22.91 | Professional | 56 · Pre-op care only | $4.68 | $16.60 | $22.91 |
Where Georgia sits
The same service costs 5.8 times more in Washington than in Virginia. 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· 44th of 51
$83.18
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.