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 $630.96 Median $3,548.13 Typical High $7,585.78 | Facility | None | $630.96 | $3,548.13 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $758.58 Typical High $912.01 | Professional | None | $162.18 | $758.58 | $912.01 |
Anthem BCBS Setting Facility Modifier None Typical Low $512.86 Median $1,000.00 Typical High $4,570.88 | Facility | None | $512.86 | $1,000.00 | $4,570.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $208.93 Median $707.95 Typical High $1,288.25 | Professional | None | $208.93 | $707.95 | $1,288.25 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $316.23 Median $1,047.13 Typical High $1,949.84 | Professional | 50 · Both sides | $316.23 | $1,047.13 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $758.58 Typical High $1,000.00 | Facility | None | $416.87 | $758.58 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $524.81 Typical High $1,659.59 | Professional | None | $186.21 | $524.81 | $1,659.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $162.18 Median $758.58 Typical High $1,445.44 | Professional | None | $162.18 | $758.58 | $1,445.44 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,479.11 Typical High $5,011.87 | Facility | None | $851.14 | $1,479.11 | $5,011.87 |
United Setting Professional Modifier None Typical Low $181.97 Median $707.95 Typical High $1,819.70 | Professional | None | $181.97 | $707.95 | $1,819.70 |
1 more rate 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 54 · Surgery only Typical Low $123.03 Median $204.17 Typical High $660.69 | Professional | 54 · Surgery only | $123.03 | $204.17 | $660.69 |
Where Georgia sits
The same service costs 4.0 times more in Wisconsin than in Nebraska. 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· 30th of 51
$759
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.