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 $223.87 Median $3,548.13 Typical High $7,585.78 | Facility | None | $223.87 | $3,548.13 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $208.93 Typical High $398.11 | Professional | None | $95.50 | $208.93 | $398.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $389.05 Median $851.14 Typical High $5,011.87 | Facility | None | $389.05 | $851.14 | $5,011.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $109.65 Median $245.47 Typical High $524.81 | Professional | None | $109.65 | $245.47 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $1,905.46 Typical High $2,691.53 | Facility | None | $398.11 | $1,905.46 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $257.04 Typical High $575.44 | Professional | None | $97.72 | $257.04 | $575.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $97.72 Median $239.88 Typical High $436.52 | Professional | None | $97.72 | $239.88 | $436.52 |
Oscar Health Setting Professional Modifier None Typical Low $91.20 Median $199.53 Typical High $446.68 | Professional | None | $91.20 | $199.53 | $446.68 |
United Setting Facility Modifier None Typical Low $331.13 Median $501.19 Typical High $2,454.71 | Facility | None | $331.13 | $501.19 | $2,454.71 |
United Setting Professional Modifier None Typical Low $117.49 Median $269.15 Typical High $588.84 | Professional | None | $117.49 | $269.15 | $588.84 |
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 $47.86 Median $97.72 Typical High $117.49 | Professional | 52 · Reduced service | $47.86 | $97.72 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $38.90 Typical High $46.77 | Professional | 53 · Discontinued | $19.05 | $38.90 | $46.77 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $70.79 Median $144.54 Typical High $173.78 | Professional | 54 · Surgery only | $70.79 | $144.54 | $173.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $29.51 Typical High $34.67 | Professional | 55 · Aftercare only | $14.13 | $29.51 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $19.50 Typical High $23.44 | Professional | 56 · Pre-op care only | $9.55 | $19.50 | $23.44 |
Where Georgia sits
The same service costs 4.1 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· 30th of 51
$257
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.