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 $316.23 Median $3,548.13 Typical High $7,585.78 | Facility | None | $316.23 | $3,548.13 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $323.59 Typical High $794.33 | Professional | None | $302.00 | $323.59 | $794.33 |
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 $251.19 Median $416.87 Typical High $645.65 | Professional | None | $251.19 | $416.87 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $181.97 Typical High $602.56 | Facility | None | $134.90 | $181.97 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $478.63 Typical High $812.83 | Professional | None | $323.59 | $478.63 | $812.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $338.84 Median $426.58 Typical High $616.60 | Professional | None | $338.84 | $426.58 | $616.60 |
Oscar Health Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None | $562.34 | $562.34 | $562.34 |
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 $257.04 Median $426.58 Typical High $812.83 | Professional | None | $257.04 | $426.58 | $812.83 |
6 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 $151.36 Median $158.49 Typical High $169.82 | Professional | 52 · Reduced service | $151.36 | $158.49 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $63.10 Typical High $67.61 | Professional | 53 · Discontinued | $60.26 | $63.10 | $67.61 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $223.87 Median $239.88 Typical High $257.04 | Professional | 54 · Surgery only | $223.87 | $239.88 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $47.86 Typical High $51.29 | Professional | 55 · Aftercare only | $44.67 | $47.86 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $31.62 Typical High $33.88 | Professional | 56 · Pre-op care only | $30.20 | $31.62 | $33.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $208.93 Median $223.87 Typical High $239.88 | Professional | 78 · Unplanned return to OR | $208.93 | $223.87 | $239.88 |
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· 19th of 51
$417
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.