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 $630.96 Median $3,801.89 Typical High $16,982.44 | Facility | None | $630.96 | $3,801.89 | $16,982.44 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $616.60 | Professional | None | $398.11 | $398.11 | $616.60 |
Anthem BCBS Setting Facility Modifier None Typical Low $512.86 Median $1,000.00 Typical High $19,952.62 | Facility | None | $512.86 | $1,000.00 | $19,952.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $398.11 Median $562.34 Typical High $912.01 | Professional | None | $398.11 | $562.34 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $912.01 Typical High $7,413.10 | Facility | None | $512.86 | $912.01 | $7,413.10 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $616.60 Typical High $1,023.29 | Professional | None | $446.68 | $616.60 | $1,023.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $660.69 Median $1,096.48 Typical High $1,096.48 | Professional | None | $660.69 | $1,096.48 | $1,096.48 |
United Setting Facility Modifier None Typical Low $79.43 Median $158.49 Typical High $1,995.26 | Facility | None | $79.43 | $158.49 | $1,995.26 |
United Setting Professional Modifier None Typical Low $331.13 Median $562.34 Typical High $1,000.00 | Professional | None | $331.13 | $562.34 | $1,000.00 |
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 $199.53 Median $199.53 Typical High $223.87 | Professional | 52 · Reduced service | $199.53 | $199.53 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $79.43 Typical High $89.13 | Professional | 53 · Discontinued | $79.43 | $79.43 | $89.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $302.00 Median $302.00 Typical High $338.84 | Professional | 54 · Surgery only | $302.00 | $302.00 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $60.26 Typical High $67.61 | Professional | 55 · Aftercare only | $60.26 | $60.26 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $39.81 Typical High $44.67 | Professional | 56 · Pre-op care only | $39.81 | $39.81 | $44.67 |
Where Georgia sits
The same service costs 4.6 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· 19th of 51
$575
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.