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 $338.84 Median $3,548.13 Typical High $7,585.78 | Facility | None | $338.84 | $3,548.13 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $363.08 Typical High $870.96 | Professional | None | $151.36 | $363.08 | $870.96 |
Ambetter Setting Professional Modifier None Typical Low $331.13 Median $562.34 Typical High $602.56 | Professional | None | $331.13 | $562.34 | $602.56 |
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 $380.19 Typical High $794.33 | Professional | None | $173.78 | $380.19 | $794.33 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $257.04 Median $562.34 Typical High $1,202.26 | Professional | 50 · Both sides | $257.04 | $562.34 | $1,202.26 |
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 $363.08 Typical High $831.76 | Professional | None | $158.49 | $363.08 | $831.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $147.91 Median $346.74 Typical High $630.96 | Professional | None | $147.91 | $346.74 | $630.96 |
Oscar Health Setting Professional Modifier None Typical Low $144.54 Median $302.00 Typical High $645.65 | Professional | None | $144.54 | $302.00 | $645.65 |
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 $416.87 Typical High $870.96 | Professional | None | $169.82 | $416.87 | $870.96 |
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 $114.82 Median $234.42 Typical High $281.84 | Professional | 54 · Surgery only | $114.82 | $234.42 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $47.86 Typical High $56.23 | Professional | 55 · Aftercare only | $22.91 | $47.86 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $31.62 Typical High $38.02 | Professional | 56 · Pre-op care only | $15.14 | $31.62 | $38.02 |
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
$380
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.