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 $131.83 Median $3,548.13 Typical High $7,585.78 | Facility | None | $131.83 | $3,548.13 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $138.04 Typical High $269.15 | Professional | None | $102.33 | $138.04 | $269.15 |
Ambetter Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $208.93 | Professional | None | $141.25 | $141.25 | $208.93 |
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 $91.20 Median $144.54 Typical High $223.87 | Professional | None | $91.20 | $144.54 | $223.87 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $162.18 Median $218.78 Typical High $354.81 | Professional | 50 · Both sides | $162.18 | $218.78 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $114.82 Typical High $338.84 | Facility | None | $83.18 | $114.82 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $181.97 Typical High $309.03 | Professional | None | $114.82 | $181.97 | $309.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $107.15 Median $173.78 Typical High $316.23 | Professional | None | $107.15 | $173.78 | $316.23 |
Oscar Health Setting Professional Modifier None Typical Low $134.90 Median $190.55 Typical High $295.12 | Professional | None | $134.90 | $190.55 | $295.12 |
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 $102.33 Median $173.78 Typical High $331.13 | Professional | None | $102.33 | $173.78 | $331.13 |
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 $51.29 Median $63.10 Typical High $72.44 | Professional | 52 · Reduced service | $51.29 | $63.10 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $25.12 Typical High $28.84 | Professional | 53 · Discontinued | $20.42 | $25.12 | $28.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $19.05 Typical High $21.88 | Professional | 55 · Aftercare only | $15.14 | $19.05 | $21.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $12.59 Typical High $14.45 | Professional | 56 · Pre-op care only | $10.23 | $12.59 | $14.45 |
Where Georgia sits
The same service costs 3.7 times more in Alaska than in Florida. 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· 25th of 51
$151
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.