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 $512.86 Median $3,548.13 Typical High $7,585.78 | Facility | None | $512.86 | $3,548.13 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $426.58 Typical High $512.86 | Professional | None | $416.87 | $426.58 | $512.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $389.05 Median $1,000.00 Typical High $5,754.40 | Facility | None | $389.05 | $1,000.00 | $5,754.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $371.54 Median $588.84 Typical High $954.99 | Professional | None | $371.54 | $588.84 | $954.99 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $616.60 Median $870.96 Typical High $1,412.54 | Professional | 50 · Both sides | $616.60 | $870.96 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $1,862.09 Typical High $2,344.23 | Facility | None | $398.11 | $1,862.09 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $630.96 Typical High $1,096.48 | Professional | None | $457.09 | $630.96 | $1,096.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $457.09 Median $501.19 Typical High $724.44 | Professional | None | $457.09 | $501.19 | $724.44 |
Oscar Health Setting Professional Modifier None Typical Low $645.65 Median $758.58 Typical High $758.58 | Professional | None | $645.65 | $758.58 | $758.58 |
United Setting Facility Modifier None Typical Low $331.13 Median $501.19 Typical High $2,454.71 | Facility | None | $331.13 | $501.19 | $2,454.71 |
United Setting Professional Modifier None Typical Low $354.81 Median $602.56 Typical High $1,071.52 | Professional | None | $354.81 | $602.56 | $1,071.52 |
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 $208.93 Median $208.93 Typical High $234.42 | Professional | 52 · Reduced service | $208.93 | $208.93 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $85.11 Typical High $93.33 | Professional | 53 · Discontinued | $83.18 | $85.11 | $93.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $309.03 Median $316.23 Typical High $346.74 | Professional | 54 · Surgery only | $309.03 | $316.23 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $63.10 Typical High $69.18 | Professional | 55 · Aftercare only | $61.66 | $63.10 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $42.66 Typical High $46.77 | Professional | 56 · Pre-op care only | $41.69 | $42.66 | $46.77 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $288.40 Median $295.12 Typical High $323.59 | Professional | 78 · Unplanned return to OR | $288.40 | $295.12 | $323.59 |
Where Georgia sits
The same service costs 8.1 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· 20th of 51
$589
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.