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 $537.03 Median $3,548.13 Typical High $7,585.78 | Facility | None | $537.03 | $3,548.13 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $537.03 Typical High $630.96 | Professional | None | $489.78 | $537.03 | $630.96 |
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 $416.87 Median $691.83 Typical High $1,071.52 | Professional | None | $416.87 | $691.83 | $1,071.52 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $741.31 Median $1,047.13 Typical High $1,698.24 | Professional | 50 · Both sides | $741.31 | $1,047.13 | $1,698.24 |
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 $549.54 Median $794.33 Typical High $1,348.96 | Professional | None | $549.54 | $794.33 | $1,348.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $562.34 Median $707.95 Typical High $1,023.29 | Professional | None | $562.34 | $707.95 | $1,023.29 |
Oscar Health Setting Professional Modifier None Typical Low $912.01 Median $954.99 Typical High $1,096.48 | Professional | None | $912.01 | $954.99 | $1,096.48 |
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 $436.52 Median $707.95 Typical High $1,348.96 | Professional | None | $436.52 | $707.95 | $1,348.96 |
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 $245.47 Median $263.03 Typical High $281.84 | Professional | 52 · Reduced service | $245.47 | $263.03 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $104.71 Typical High $112.20 | Professional | 53 · Discontinued | $97.72 | $104.71 | $112.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $398.11 Typical High $426.58 | Professional | 54 · Surgery only | $371.54 | $398.11 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $79.43 Typical High $85.11 | Professional | 55 · Aftercare only | $74.13 | $79.43 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $48.98 Median $52.48 Typical High $56.23 | Professional | 56 · Pre-op care only | $48.98 | $52.48 | $56.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $346.74 Median $371.54 Typical High $398.11 | Professional | 78 · Unplanned return to OR | $346.74 | $371.54 | $398.11 |
Where Georgia sits
The same service costs 5.8 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
$676
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.