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 $562.34 Median $3,630.78 Typical High $7,943.28 | Facility | None | $562.34 | $3,630.78 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $1,148.15 | Professional | None | $537.03 | $537.03 | $1,148.15 |
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 $524.81 Median $724.44 Typical High $1,174.90 | Professional | None | $524.81 | $724.44 | $1,174.90 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $831.76 Median $1,096.48 Typical High $1,819.70 | Professional | 50 · Both sides | $831.76 | $1,096.48 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $398.11 Typical High $660.69 | Facility | None | $309.03 | $398.11 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $870.96 Typical High $1,445.44 | Professional | None | $616.60 | $870.96 | $1,445.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $478.63 Median $602.56 Typical High $1,479.11 | Professional | None | $478.63 | $602.56 | $1,479.11 |
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 $549.54 Median $851.14 Typical High $1,621.81 | Professional | None | $549.54 | $851.14 | $1,621.81 |
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 $269.15 Median $269.15 Typical High $323.59 | Professional | 52 · Reduced service | $269.15 | $269.15 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $107.15 Typical High $128.82 | Professional | 53 · Discontinued | $107.15 | $107.15 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $407.38 Typical High $489.78 | Professional | 54 · Surgery only | $407.38 | $407.38 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $81.28 Typical High $97.72 | Professional | 55 · Aftercare only | $81.28 | $81.28 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $53.70 Typical High $64.57 | Professional | 56 · Pre-op care only | $53.70 | $53.70 | $64.57 |
Where Georgia sits
The same service costs 4.0 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· 29th of 51
$724
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.