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 $229.09 Median $3,548.13 Typical High $7,585.78 | Facility | None | $229.09 | $3,548.13 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $223.87 Typical High $263.03 | Professional | None | $79.43 | $223.87 | $263.03 |
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 $107.15 Median $186.21 Typical High $363.08 | Professional | None | $107.15 | $186.21 | $363.08 |
CareSource Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None | $74.13 | $74.13 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $616.60 Typical High $812.83 | Facility | None | $398.11 | $616.60 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $199.53 Typical High $501.19 | Professional | None | $93.33 | $199.53 | $501.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $89.13 Median $281.84 Typical High $316.23 | Professional | None | $89.13 | $281.84 | $316.23 |
Oscar Health Setting Professional Modifier None Typical Low $114.82 Median $309.03 Typical High $346.74 | Professional | None | $114.82 | $309.03 | $346.74 |
United Setting Facility Modifier None Typical Low $501.19 Median $724.44 Typical High $3,548.13 | Facility | None | $501.19 | $724.44 | $3,548.13 |
United Setting Professional Modifier None Typical Low $83.18 Median $208.93 Typical High $537.03 | Professional | None | $83.18 | $208.93 | $537.03 |
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 $39.81 Median $104.71 Typical High $125.89 | Professional | 52 · Reduced service | $39.81 | $104.71 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $41.69 Typical High $51.29 | Professional | 53 · Discontinued | $15.85 | $41.69 | $51.29 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $58.88 Median $158.49 Typical High $190.55 | Professional | 54 · Surgery only | $58.88 | $158.49 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $31.62 Typical High $38.02 | Professional | 55 · Aftercare only | $12.02 | $31.62 | $38.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $20.89 Typical High $25.12 | Professional | 56 · Pre-op care only | $7.94 | $20.89 | $25.12 |
Where Georgia sits
The same service costs 4.1 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· 19th of 51
$209
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.