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 $56.23 Median $3,630.78 Typical High $7,943.28 | Facility | None | $56.23 | $3,630.78 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $56.23 Typical High $79.43 | Professional | None | $54.95 | $56.23 | $79.43 |
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 $53.70 Median $72.44 Typical High $123.03 | Professional | None | $53.70 | $72.44 | $123.03 |
CareSource Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $323.59 Typical High $660.69 | Facility | None | $245.47 | $323.59 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $57.54 Median $93.33 Typical High $151.36 | Professional | None | $57.54 | $93.33 | $151.36 |
Kaiser Permanente Setting Professional Modifier None Typical Low $46.77 Median $60.26 Typical High $181.97 | Professional | None | $46.77 | $60.26 | $181.97 |
Oscar Health Setting Professional Modifier None Typical Low $43.65 Median $77.62 Typical High $95.50 | Professional | None | $43.65 | $77.62 | $95.50 |
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 $48.98 Median $83.18 Typical High $165.96 | Professional | None | $48.98 | $83.18 | $165.96 |
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 $27.54 Median $28.18 Typical High $35.48 | Professional | 52 · Reduced service | $27.54 | $28.18 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $11.48 Typical High $14.13 | Professional | 53 · Discontinued | $10.96 | $11.48 | $14.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $41.69 Median $42.66 Typical High $52.48 | Professional | 54 · Surgery only | $41.69 | $42.66 | $52.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $8.51 Typical High $10.47 | Professional | 55 · Aftercare only | $8.32 | $8.51 | $10.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.50 Median $5.62 Typical High $7.08 | Professional | 56 · Pre-op care only | $5.50 | $5.62 | $7.08 |
Where Georgia sits
The same service costs 4.2 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· 20th of 51
$75.86
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.