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 $194.98 Median $5,370.32 Typical High $7,762.47 | Facility | None | $194.98 | $5,370.32 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $1,905.46 Typical High $5,128.61 | Professional | None | $194.98 | $1,905.46 | $5,128.61 |
Ambetter Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,548.82 | $1,548.82 | $1,548.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $912.01 Median $1,698.24 Typical High $9,772.37 | Facility | None | $912.01 | $1,698.24 | $9,772.37 |
Anthem BCBS Setting Professional Modifier None Typical Low $234.42 Median $1,348.96 Typical High $4,677.35 | Professional | None | $234.42 | $1,348.96 | $4,677.35 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $354.81 Median $2,041.74 Typical High $7,762.47 | Professional | 50 · Both sides | $354.81 | $2,041.74 | $7,762.47 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $1,819.70 Typical High $2,570.40 | Facility | None | $891.25 | $1,819.70 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $1,698.24 Typical High $4,365.16 | Professional | None | $194.98 | $1,698.24 | $4,365.16 |
Kaiser Permanente Setting Professional Modifier None Typical Low $169.82 Median $1,621.81 Typical High $3,090.30 | Professional | None | $169.82 | $1,621.81 | $3,090.30 |
United Setting Facility Modifier None Typical Low $954.99 Median $1,995.26 Typical High $7,585.78 | Facility | None | $954.99 | $1,995.26 | $7,585.78 |
United Setting Professional Modifier None Typical Low $204.17 Median $1,905.46 Typical High $5,248.07 | Professional | None | $204.17 | $1,905.46 | $5,248.07 |
1 more rate 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 54 · Surgery only Typical Low $144.54 Median $234.42 Typical High $1,584.89 | Professional | 54 · Surgery only | $144.54 | $234.42 | $1,584.89 |
Where Georgia sits
The same service costs 10.5 times more in Alaska than in Nebraska. 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· 35th of 51
$1,622
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.