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 $371.54 Median $3,548.13 Typical High $7,585.78 | Facility | None | $371.54 | $3,548.13 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $120.23 Typical High $371.54 | Professional | None | $114.82 | $120.23 | $371.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $398.11 Median $1,174.90 Typical High $7,244.36 | Facility | None | $398.11 | $1,174.90 | $7,244.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $97.72 Median $162.18 Typical High $275.42 | Professional | None | $97.72 | $162.18 | $275.42 |
CareSource Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $4,897.79 Typical High $6,165.95 | Facility | None | $398.11 | $4,897.79 | $6,165.95 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $213.80 Typical High $363.08 | Professional | None | $134.90 | $213.80 | $363.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $131.83 Median $154.88 Typical High $478.63 | Professional | None | $131.83 | $154.88 | $478.63 |
Oscar Health Setting Professional Modifier None Typical Low $109.65 Median $190.55 Typical High $208.93 | Professional | None | $109.65 | $190.55 | $208.93 |
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 $107.15 Median $190.55 Typical High $380.19 | Professional | None | $107.15 | $190.55 | $380.19 |
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 $57.54 Median $57.54 Typical High $75.86 | Professional | 52 · Reduced service | $57.54 | $57.54 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $30.20 | Professional | 53 · Discontinued | $22.91 | $22.91 | $30.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $87.10 Median $87.10 Typical High $112.20 | Professional | 54 · Surgery only | $87.10 | $87.10 | $112.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $17.38 Typical High $22.91 | Professional | 55 · Aftercare only | $17.38 | $17.38 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $11.48 Typical High $15.14 | Professional | 56 · Pre-op care only | $11.48 | $11.48 | $15.14 |
Where Georgia sits
The same service costs 4.8 times more in Alaska than in Utah. 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
$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.