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 $109.65 Median $141.25 Typical High $144.54 | Facility | None | $109.65 | $141.25 | $144.54 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $141.25 Typical High $158.49 | Professional | None | $109.65 | $141.25 | $158.49 |
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 $95.50 Median $147.91 Typical High $239.88 | Professional | None | $95.50 | $147.91 | $239.88 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $169.82 Median $229.09 Typical High $380.19 | Professional | 50 · Both sides | $169.82 | $229.09 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $117.49 Typical High $338.84 | Facility | None | $83.18 | $117.49 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $190.55 Typical High $323.59 | Professional | None | $123.03 | $190.55 | $323.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $114.82 Median $173.78 Typical High $263.03 | Professional | None | $114.82 | $173.78 | $263.03 |
Oscar Health Setting Professional Modifier None Typical Low $141.25 Median $204.17 Typical High $309.03 | Professional | None | $141.25 | $204.17 | $309.03 |
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 $109.65 Median $186.21 Typical High $354.81 | Professional | None | $109.65 | $186.21 | $354.81 |
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 $54.95 Median $66.07 Typical High $75.86 | Professional | 52 · Reduced service | $54.95 | $66.07 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $26.92 Typical High $30.90 | Professional | 53 · Discontinued | $21.88 | $26.92 | $30.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $19.95 Typical High $22.91 | Professional | 55 · Aftercare only | $16.60 | $19.95 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $13.18 Typical High $15.49 | Professional | 56 · Pre-op care only | $10.96 | $13.18 | $15.49 |
Where Georgia sits
The same service costs 4.0 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
$162
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.