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 $63.10 Median $89.13 Typical High $102.33 | Facility | None | $63.10 | $89.13 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $89.13 Typical High $173.78 | Professional | None | $63.10 | $89.13 | $173.78 |
Ambetter Setting Professional Modifier None Typical Low $95.50 Median $162.18 Typical High $181.97 | Professional | None | $95.50 | $162.18 | $181.97 |
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 $60.26 Median $100.00 Typical High $144.54 | Professional | None | $60.26 | $100.00 | $144.54 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $83.18 Median $131.83 Typical High $213.80 | Professional | 50 · Both sides | $83.18 | $131.83 | $213.80 |
CareSource Setting Professional Modifier None Typical Low $81.28 Median $104.71 Typical High $128.82 | Professional | None | $81.28 | $104.71 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $83.18 Typical High $239.88 | Facility | None | $63.10 | $83.18 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $114.82 Typical High $199.53 | Professional | None | $70.79 | $114.82 | $199.53 |
Kaiser Permanente Setting Professional Modifier None Typical Low $69.18 Median $109.65 Typical High $177.83 | Professional | None | $69.18 | $109.65 | $177.83 |
Oscar Health Setting Professional Modifier None Typical Low $89.13 Median $120.23 Typical High $190.55 | Professional | None | $89.13 | $120.23 | $190.55 |
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 $63.10 Median $112.20 Typical High $213.80 | Professional | None | $63.10 | $112.20 | $213.80 |
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 $31.62 Median $40.74 Typical High $46.77 | Professional | 52 · Reduced service | $31.62 | $40.74 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $16.60 Typical High $18.62 | Professional | 53 · Discontinued | $12.59 | $16.60 | $18.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $12.30 Typical High $13.80 | Professional | 55 · Aftercare only | $9.55 | $12.30 | $13.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.31 Median $8.32 Typical High $9.33 | Professional | 56 · Pre-op care only | $6.31 | $8.32 | $9.33 |
Where Georgia sits
The same service costs 3.7 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· 19th of 51
$102
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.