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 $346.74 Median $3,548.13 Typical High $7,585.78 | Facility | None | $346.74 | $3,548.13 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $346.74 Typical High $831.76 | Professional | None | $316.23 | $346.74 | $831.76 |
Ambetter Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | None | $275.42 | $275.42 | $275.42 |
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 $263.03 Median $446.68 Typical High $676.08 | Professional | None | $263.03 | $446.68 | $676.08 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $489.78 Median $660.69 Typical High $1,071.52 | Professional | 50 · Both sides | $489.78 | $660.69 | $1,071.52 |
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 $346.74 Median $501.19 Typical High $870.96 | Professional | None | $346.74 | $501.19 | $870.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $380.19 Median $457.09 Typical High $676.08 | Professional | None | $380.19 | $457.09 | $676.08 |
Oscar Health Setting Professional Modifier None Typical Low $489.78 Median $602.56 Typical High $707.95 | Professional | None | $489.78 | $602.56 | $707.95 |
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 $281.84 Median $457.09 Typical High $870.96 | Professional | None | $281.84 | $457.09 | $870.96 |
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 $154.88 Median $169.82 Typical High $181.97 | Professional | 52 · Reduced service | $154.88 | $169.82 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $67.61 Typical High $72.44 | Professional | 53 · Discontinued | $61.66 | $67.61 | $72.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $234.42 Median $251.19 Typical High $269.15 | Professional | 54 · Surgery only | $234.42 | $251.19 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $50.12 Typical High $53.70 | Professional | 55 · Aftercare only | $46.77 | $50.12 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $33.88 Typical High $36.31 | Professional | 56 · Pre-op care only | $30.90 | $33.88 | $36.31 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $218.78 Median $234.42 Typical High $251.19 | Professional | 78 · Unplanned return to OR | $218.78 | $234.42 | $251.19 |
Where Georgia sits
The same service costs 5.9 times more in Alaska than in Utah. 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
$447
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.