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 $181.97 Median $6,025.60 Typical High $11,481.54 | Facility | None | $181.97 | $6,025.60 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $2,754.23 Typical High $7,762.47 | Professional | None | $181.97 | $2,754.23 | $7,762.47 |
Anthem BCBS Setting Facility Modifier None Typical Low $691.83 Median $1,348.96 Typical High $7,244.36 | Facility | None | $691.83 | $1,348.96 | $7,244.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $144.54 Median $223.87 Typical High $562.34 | Professional | None | $144.54 | $223.87 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $4,786.30 Typical High $6,456.54 | Facility | None | $602.56 | $4,786.30 | $6,456.54 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $457.09 Typical High $5,623.41 | Professional | None | $186.21 | $457.09 | $5,623.41 |
Kaiser Permanente Setting Professional Modifier None Typical Low $165.96 Median $295.12 Typical High $3,162.28 | Professional | None | $165.96 | $295.12 | $3,162.28 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $2,884.03 Typical High $8,709.64 | Facility | None | $1,258.93 | $2,884.03 | $8,709.64 |
United Setting Professional Modifier None Typical Low $181.97 Median $2,884.03 Typical High $6,760.83 | Professional | None | $181.97 | $2,884.03 | $6,760.83 |
5 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 $91.20 Median $141.25 Typical High $1,584.89 | Professional | 52 · Reduced service | $91.20 | $141.25 | $1,584.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $56.23 Typical High $630.96 | Professional | 53 · Discontinued | $36.31 | $56.23 | $630.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $138.04 Median $213.80 Typical High $2,344.23 | Professional | 54 · Surgery only | $138.04 | $213.80 | $2,344.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $42.66 Typical High $467.74 | Professional | 55 · Aftercare only | $27.54 | $42.66 | $467.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $28.18 Typical High $316.23 | Professional | 56 · Pre-op care only | $18.20 | $28.18 | $316.23 |
Where Georgia sits
The same service costs 33.1 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· 44th of 51
$407
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.