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 $109.65 Median $3,548.13 Typical High $7,585.78 | Facility | None | $109.65 | $3,548.13 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $131.83 Typical High $331.13 | Professional | None | $47.86 | $131.83 | $331.13 |
Ambetter Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $380.19 Median $776.25 Typical High $3,630.78 | Facility | None | $380.19 | $776.25 | $3,630.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $53.70 Median $109.65 Typical High $251.19 | Professional | None | $53.70 | $109.65 | $251.19 |
CareSource Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $158.49 Typical High $645.65 | Facility | None | $117.49 | $158.49 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $123.03 Typical High $288.40 | Professional | None | $56.23 | $123.03 | $288.40 |
Kaiser Permanente Setting Professional Modifier None Typical Low $53.70 Median $138.04 Typical High $194.98 | Professional | None | $53.70 | $138.04 | $194.98 |
Oscar Health Setting Professional Modifier None Typical Low $69.18 Median $181.97 Typical High $281.84 | Professional | None | $69.18 | $181.97 | $281.84 |
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 $50.12 Median $117.49 Typical High $331.13 | Professional | None | $50.12 | $117.49 | $331.13 |
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 $23.99 Median $54.95 Typical High $74.13 | Professional | 52 · Reduced service | $23.99 | $54.95 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $21.88 Typical High $29.51 | Professional | 53 · Discontinued | $9.55 | $21.88 | $29.51 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $35.48 Median $81.28 Typical High $109.65 | Professional | 54 · Surgery only | $35.48 | $81.28 | $109.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.08 Median $16.22 Typical High $21.88 | Professional | 55 · Aftercare only | $7.08 | $16.22 | $21.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.79 Median $10.96 Typical High $14.79 | Professional | 56 · Pre-op care only | $4.79 | $10.96 | $14.79 |
Where Georgia sits
The same service costs 3.5 times more in Alaska than in Washington, DC. 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
$120
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.