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 $281.84 Median $4,466.84 Typical High $7,585.78 | Facility | None | $281.84 | $4,466.84 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $257.04 Typical High $371.54 | Professional | None | $125.89 | $257.04 | $371.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $478.63 Median $851.14 Typical High $4,073.80 | Facility | None | $478.63 | $851.14 | $4,073.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $138.04 Median $239.88 Typical High $398.11 | Professional | None | $138.04 | $239.88 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $794.33 Typical High $1,288.25 | Facility | None | $537.03 | $794.33 | $1,288.25 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $288.40 Typical High $602.56 | Professional | None | $128.82 | $288.40 | $602.56 |
Kaiser Permanente Setting Professional Modifier None Typical Low $123.03 Median $288.40 Typical High $537.03 | Professional | None | $123.03 | $288.40 | $537.03 |
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 $123.03 Median $245.47 Typical High $645.65 | Professional | None | $123.03 | $245.47 | $645.65 |
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 $61.66 Median $120.23 Typical High $144.54 | Professional | 52 · Reduced service | $61.66 | $120.23 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $47.86 Typical High $57.54 | Professional | 53 · Discontinued | $24.55 | $47.86 | $57.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $93.33 Median $181.97 Typical High $218.78 | Professional | 54 · Surgery only | $93.33 | $181.97 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $36.31 Typical High $43.65 | Professional | 55 · Aftercare only | $18.62 | $36.31 | $43.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $23.99 Typical High $28.84 | Professional | 56 · Pre-op care only | $12.30 | $23.99 | $28.84 |
Where Georgia sits
The same service costs 4.3 times more in Alaska than in Kentucky. 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
$302
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.