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 $75.86 Median $3,548.13 Typical High $7,585.78 | Facility | None | $75.86 | $3,548.13 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $204.17 Typical High $501.19 | Professional | None | $75.86 | $204.17 | $501.19 |
Ambetter Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $251.19 | Professional | None | $63.10 | $63.10 | $251.19 |
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 $70.79 Median $128.82 Typical High $239.88 | Professional | None | $70.79 | $128.82 | $239.88 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $131.83 Median $194.98 Typical High $389.05 | Professional | 50 · Both sides | $131.83 | $194.98 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $194.98 Typical High $457.09 | Professional | None | $85.11 | $194.98 | $457.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $75.86 Median $223.87 Typical High $616.60 | Professional | None | $75.86 | $223.87 | $616.60 |
Oscar Health Setting Professional Modifier None Typical Low $69.18 Median $173.78 Typical High $389.05 | Professional | None | $69.18 | $173.78 | $389.05 |
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 $77.62 Median $190.55 Typical High $457.09 | Professional | None | $77.62 | $190.55 | $457.09 |
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 $38.02 Median $87.10 Typical High $107.15 | Professional | 52 · Reduced service | $38.02 | $87.10 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $34.67 Typical High $42.66 | Professional | 53 · Discontinued | $15.14 | $34.67 | $42.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $56.23 Median $131.83 Typical High $158.49 | Professional | 54 · Surgery only | $56.23 | $131.83 | $158.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $26.30 Typical High $31.62 | Professional | 55 · Aftercare only | $11.22 | $26.30 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $17.38 Typical High $21.38 | Professional | 56 · Pre-op care only | $7.59 | $17.38 | $21.38 |
Where Georgia sits
The same service costs 3.8 times more in Alaska 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· 40th of 51
$148
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.