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 $85.11 Median $120.23 Typical High $123.03 | Facility | None | $85.11 | $120.23 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $114.82 Typical High $131.83 | Professional | None | $85.11 | $114.82 | $131.83 |
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 $72.44 Median $114.82 Typical High $194.98 | Professional | None | $72.44 | $114.82 | $194.98 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $131.83 Median $181.97 Typical High $295.12 | Professional | 50 · Both sides | $131.83 | $181.97 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $102.33 Typical High $295.12 | Facility | None | $75.86 | $102.33 | $295.12 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $154.88 Typical High $281.84 | Professional | None | $95.50 | $154.88 | $281.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $85.11 Median $162.18 Typical High $223.87 | Professional | None | $85.11 | $162.18 | $223.87 |
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 $87.10 Median $147.91 Typical High $302.00 | Professional | None | $87.10 | $147.91 | $302.00 |
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 $42.66 Median $57.54 Typical High $66.07 | Professional | 52 · Reduced service | $42.66 | $57.54 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $22.91 Typical High $26.30 | Professional | 53 · Discontinued | $16.98 | $22.91 | $26.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $16.98 Typical High $19.50 | Professional | 55 · Aftercare only | $12.59 | $16.98 | $19.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.51 Median $11.48 Typical High $13.18 | Professional | 56 · Pre-op care only | $8.51 | $11.48 | $13.18 |
Where Georgia sits
The same service costs 3.5 times more in Alaska than in Maryland. 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· 30th of 51
$129
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.