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 $426.58 Median $5,888.44 Typical High $10,000.00 | Facility | None | $426.58 | $5,888.44 | $10,000.00 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $416.87 Typical High $616.60 | Professional | None | $407.38 | $416.87 | $616.60 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,000.00 Median $1,862.09 Typical High $7,244.36 | Facility | None | $1,000.00 | $1,862.09 | $7,244.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $363.08 Median $588.84 Typical High $1,000.00 | Professional | None | $363.08 | $588.84 | $1,000.00 |
CareSource Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None | $371.54 | $371.54 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $1,513.56 Median $5,248.07 Typical High $6,760.83 | Facility | None | $1,513.56 | $5,248.07 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $707.95 Typical High $1,202.26 | Professional | None | $478.63 | $707.95 | $1,202.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $416.87 Median $512.86 Typical High $1,412.54 | Professional | None | $416.87 | $512.86 | $1,412.54 |
Oscar Health Setting Professional Modifier None Typical Low $457.09 Median $630.96 Typical High $676.08 | Professional | None | $457.09 | $630.96 | $676.08 |
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 $407.38 Median $676.08 Typical High $1,288.25 | Professional | None | $407.38 | $676.08 | $1,288.25 |
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 $199.53 Median $199.53 Typical High $251.19 | Professional | 52 · Reduced service | $199.53 | $199.53 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $81.28 Typical High $102.33 | Professional | 53 · Discontinued | $81.28 | $81.28 | $102.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $302.00 Median $302.00 Typical High $380.19 | Professional | 54 · Surgery only | $302.00 | $302.00 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $60.26 Typical High $75.86 | Professional | 55 · Aftercare only | $60.26 | $60.26 | $75.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $40.74 Typical High $51.29 | Professional | 56 · Pre-op care only | $40.74 | $40.74 | $51.29 |
Where Georgia sits
The same service costs 4.5 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· 19th of 51
$603
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.