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 $977.24 Median $5,370.32 Typical High $7,943.28 | Facility | None | $977.24 | $5,370.32 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $1,096.48 Typical High $3,235.94 | Professional | None | $309.03 | $1,096.48 | $3,235.94 |
Ambetter Setting Professional Modifier None Typical Low $478.63 Median $1,737.80 Typical High $2,137.96 | Professional | None | $478.63 | $1,737.80 | $2,137.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $851.14 Median $1,819.70 Typical High $5,754.40 | Facility | None | $851.14 | $1,819.70 | $5,754.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $354.81 Median $977.24 Typical High $2,951.21 | Professional | None | $354.81 | $977.24 | $2,951.21 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $537.03 Median $1,819.70 Typical High $4,570.88 | Professional | 50 · Both sides | $537.03 | $1,819.70 | $4,570.88 |
Cigna Setting Facility Modifier None Typical Low $1,412.54 Median $1,949.84 Typical High $2,570.40 | Facility | None | $1,412.54 | $1,949.84 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $1,258.93 Typical High $2,951.21 | Professional | None | $323.59 | $1,258.93 | $2,951.21 |
Kaiser Permanente Setting Professional Modifier None Typical Low $309.03 Median $1,096.48 Typical High $4,365.16 | Professional | None | $309.03 | $1,096.48 | $4,365.16 |
Oscar Health Setting Professional Modifier None Typical Low $302.00 Median $933.25 Typical High $1,995.26 | Professional | None | $302.00 | $933.25 | $1,995.26 |
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 $346.74 Median $1,096.48 Typical High $3,090.30 | Professional | None | $346.74 | $1,096.48 | $3,090.30 |
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 $229.09 Median $776.25 Typical High $933.25 | Professional | 54 · Surgery only | $229.09 | $776.25 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $158.49 Typical High $186.21 | Professional | 55 · Aftercare only | $46.77 | $158.49 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $104.71 Typical High $125.89 | Professional | 56 · Pre-op care only | $30.90 | $104.71 | $125.89 |
Where Georgia sits
The same service costs 4.8 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· 29th of 51
$1,259
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.