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 $190.55 Median $5,370.32 Typical High $7,585.78 | Facility | None | $190.55 | $5,370.32 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $295.12 Typical High $331.13 | Professional | None | $190.55 | $295.12 | $331.13 |
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 $173.78 Median $275.42 Typical High $426.58 | Professional | None | $173.78 | $275.42 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $186.21 Typical High $501.19 | Facility | None | $134.90 | $186.21 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $354.81 Typical High $724.44 | Professional | None | $213.80 | $354.81 | $724.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $208.93 Median $407.38 Typical High $588.84 | Professional | None | $208.93 | $407.38 | $588.84 |
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 $194.98 Median $354.81 Typical High $812.83 | Professional | None | $194.98 | $354.81 | $812.83 |
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 $95.50 Median $134.90 Typical High $165.96 | Professional | 52 · Reduced service | $95.50 | $134.90 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $53.70 Typical High $66.07 | Professional | 53 · Discontinued | $38.02 | $53.70 | $66.07 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $141.25 Median $204.17 Typical High $245.47 | Professional | 54 · Surgery only | $141.25 | $204.17 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $40.74 Typical High $48.98 | Professional | 55 · Aftercare only | $28.84 | $40.74 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.05 Median $26.92 Typical High $33.11 | Professional | 56 · Pre-op care only | $19.05 | $26.92 | $33.11 |
Where Georgia sits
The same service costs 3.8 times more in Alaska than in Maryland. 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· 23rd of 51
$316
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.