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 $323.59 Median $3,548.13 Typical High $7,585.78 | Facility | None | $323.59 | $3,548.13 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $346.74 Typical High $812.83 | Professional | None | $151.36 | $346.74 | $812.83 |
Ambetter Setting Professional Modifier None Typical Low $263.03 Median $288.40 Typical High $501.19 | Professional | None | $263.03 | $288.40 | $501.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,202.26 Median $1,737.80 Typical High $4,897.79 | Facility | None | $1,202.26 | $1,737.80 | $4,897.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $173.78 Median $363.08 Typical High $758.58 | Professional | None | $173.78 | $363.08 | $758.58 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $257.04 Median $524.81 Typical High $1,148.15 | Professional | 50 · Both sides | $257.04 | $524.81 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,659.59 Typical High $4,265.80 | Facility | None | $512.86 | $1,659.59 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $346.74 Typical High $758.58 | Professional | None | $158.49 | $346.74 | $758.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $147.91 Median $316.23 Typical High $1,023.29 | Professional | None | $147.91 | $316.23 | $1,023.29 |
Oscar Health Setting Professional Modifier None Typical Low $144.54 Median $295.12 Typical High $588.84 | Professional | None | $144.54 | $295.12 | $588.84 |
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 $169.82 Median $398.11 Typical High $851.14 | Professional | None | $169.82 | $398.11 | $851.14 |
3 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 54 · Surgery only Typical Low $112.20 Median $223.87 Typical High $269.15 | Professional | 54 · Surgery only | $112.20 | $223.87 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $44.67 Typical High $53.70 | Professional | 55 · Aftercare only | $22.39 | $44.67 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $30.20 Typical High $36.31 | Professional | 56 · Pre-op care only | $15.14 | $30.20 | $36.31 |
Where Georgia sits
The same service costs 3.4 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· 21st of 51
$363
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.