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 $112.20 Median $3,548.13 Typical High $7,585.78 | Facility | None | $112.20 | $3,548.13 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $102.33 Typical High $128.82 | Professional | None | $70.79 | $102.33 | $128.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $741.31 Median $2,290.87 Typical High $5,888.44 | Facility | None | $741.31 | $2,290.87 | $5,888.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $93.33 Median $147.91 Typical High $269.15 | Professional | None | $93.33 | $147.91 | $269.15 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $138.04 Median $229.09 Typical High $407.38 | Professional | 50 · Both sides | $138.04 | $229.09 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $173.78 Typical High $398.11 | Professional | None | $104.71 | $173.78 | $398.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $72.44 Median $134.90 Typical High $501.19 | Professional | None | $72.44 | $134.90 | $501.19 |
United Setting Facility Modifier None Typical Low $1,819.70 Median $3,981.07 Typical High $8,511.38 | Facility | None | $1,819.70 | $3,981.07 | $8,511.38 |
United Setting Professional Modifier None Typical Low $75.86 Median $151.36 Typical High $302.00 | Professional | None | $75.86 | $151.36 | $302.00 |
4 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 $35.48 Median $51.29 Typical High $64.57 | Professional | 52 · Reduced service | $35.48 | $51.29 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $20.42 Typical High $25.70 | Professional | 53 · Discontinued | $14.13 | $20.42 | $25.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.72 Median $15.49 Typical High $19.50 | Professional | 55 · Aftercare only | $10.72 | $15.49 | $19.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $10.23 Typical High $12.88 | Professional | 56 · Pre-op care only | $7.08 | $10.23 | $12.88 |
Where Georgia sits
The same service costs 8.7 times more in Oklahoma than in Michigan. 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· 24th of 51
$166
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.