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 $501.19 Median $3,630.78 Typical High $7,943.28 | Facility | None | $501.19 | $3,630.78 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $588.84 | Professional | None | $478.63 | $478.63 | $588.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $691.83 Median $1,348.96 Typical High $7,244.36 | Facility | None | $691.83 | $1,348.96 | $7,244.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $398.11 Median $676.08 Typical High $1,230.27 | Professional | None | $398.11 | $676.08 | $1,230.27 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $323.59 Median $478.63 Typical High $758.58 | Professional | 62 · Two surgeons | $323.59 | $478.63 | $758.58 |
CareSource Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None | $457.09 | $457.09 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $3,467.37 Typical High $4,677.35 | Facility | None | $1,023.29 | $3,467.37 | $4,677.35 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $794.33 Typical High $1,258.93 | Professional | None | $524.81 | $794.33 | $1,258.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $478.63 Median $537.03 Typical High $1,584.89 | Professional | None | $478.63 | $537.03 | $1,584.89 |
Oscar Health Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None | $457.09 | $457.09 | $457.09 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,479.11 Typical High $5,011.87 | Facility | None | $851.14 | $1,479.11 | $5,011.87 |
United Setting Professional Modifier None Typical Low $457.09 Median $758.58 Typical High $1,548.82 | Professional | None | $457.09 | $758.58 | $1,548.82 |
1 more rate 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 $354.81 Median $354.81 Typical High $426.58 | Professional | 54 · Surgery only | $354.81 | $354.81 | $426.58 |
Where Georgia sits
The same service costs 4.6 times more in Alaska than in Texas. 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
$676
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.