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 $69.18 Median $97.72 Typical High $112.20 | Facility | None | $69.18 | $97.72 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $97.72 Typical High $186.21 | Professional | None | $69.18 | $97.72 | $186.21 |
Ambetter Setting Professional Modifier None Typical Low $102.33 Median $194.98 Typical High $194.98 | Professional | None | $102.33 | $194.98 | $194.98 |
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 $61.66 Median $100.00 Typical High $154.88 | Professional | None | $61.66 | $100.00 | $154.88 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $112.20 Median $147.91 Typical High $234.42 | Professional | 50 · Both sides | $112.20 | $147.91 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $91.20 Typical High $263.03 | Facility | None | $66.07 | $91.20 | $263.03 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $125.89 Typical High $223.87 | Professional | None | $77.62 | $125.89 | $223.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $75.86 Median $123.03 Typical High $213.80 | Professional | None | $75.86 | $123.03 | $213.80 |
Oscar Health Setting Professional Modifier None Typical Low $97.72 Median $134.90 Typical High $213.80 | Professional | None | $97.72 | $134.90 | $213.80 |
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 $70.79 Median $123.03 Typical High $239.88 | Professional | None | $70.79 | $123.03 | $239.88 |
4 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 $34.67 Median $45.71 Typical High $51.29 | Professional | 52 · Reduced service | $34.67 | $45.71 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $18.20 Typical High $20.42 | Professional | 53 · Discontinued | $13.80 | $18.20 | $20.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $13.49 Typical High $15.14 | Professional | 55 · Aftercare only | $10.47 | $13.49 | $15.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $9.12 Typical High $10.23 | Professional | 56 · Pre-op care only | $6.92 | $9.12 | $10.23 |
Where Georgia sits
The same service costs 3.6 times more in Alaska than in Kentucky. 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· 26th of 51
$107
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.