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 $34.67 Median $51.29 Typical High $53.70 | Facility | None | $34.67 | $51.29 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $48.98 Typical High $56.23 | Professional | None | $34.67 | $48.98 | $56.23 |
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 $30.20 Median $47.86 Typical High $87.10 | Professional | None | $30.20 | $47.86 | $87.10 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $58.88 Median $75.86 Typical High $128.82 | Professional | 50 · Both sides | $58.88 | $75.86 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $346.74 Typical High $4,265.80 | Facility | None | $50.12 | $346.74 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $67.61 Typical High $123.03 | Professional | None | $38.02 | $67.61 | $123.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $36.31 Median $69.18 Typical High $102.33 | Professional | None | $36.31 | $69.18 | $102.33 |
Oscar Health Setting Professional Modifier None Typical Low $36.31 Median $67.61 Typical High $123.03 | Professional | None | $36.31 | $67.61 | $123.03 |
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 $35.48 Median $63.10 Typical High $131.83 | Professional | None | $35.48 | $63.10 | $131.83 |
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 $17.38 Median $23.99 Typical High $28.18 | Professional | 52 · Reduced service | $17.38 | $23.99 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $9.55 Typical High $11.22 | Professional | 53 · Discontinued | $6.92 | $9.55 | $11.22 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.25 Median $7.24 Typical High $8.32 | Professional | 55 · Aftercare only | $5.25 | $7.24 | $8.32 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.47 Median $4.79 Typical High $5.62 | Professional | 56 · Pre-op care only | $3.47 | $4.79 | $5.62 |
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· 29th of 51
$56.23
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.