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 $602.56 Median $3,630.78 Typical High $7,943.28 | Facility | None | $602.56 | $3,630.78 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $1,380.38 | Professional | None | $575.44 | $575.44 | $1,380.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $389.05 Median $1,096.48 Typical High $7,244.36 | Facility | None | $389.05 | $1,096.48 | $7,244.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $575.44 Median $758.58 Typical High $1,258.93 | Professional | None | $575.44 | $758.58 | $1,258.93 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $870.96 Median $1,174.90 Typical High $1,949.84 | Professional | 50 · Both sides | $870.96 | $1,174.90 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $5,495.41 Typical High $7,244.36 | Facility | None | $602.56 | $5,495.41 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $912.01 Typical High $1,548.82 | Professional | None | $645.65 | $912.01 | $1,548.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $501.19 Median $630.96 Typical High $1,778.28 | Professional | None | $501.19 | $630.96 | $1,778.28 |
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 $588.84 Median $912.01 Typical High $1,698.24 | Professional | None | $588.84 | $912.01 | $1,698.24 |
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 $288.40 Median $288.40 Typical High $338.84 | Professional | 52 · Reduced service | $288.40 | $288.40 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $114.82 Typical High $138.04 | Professional | 53 · Discontinued | $114.82 | $114.82 | $138.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $426.58 Typical High $512.86 | Professional | 54 · Surgery only | $426.58 | $426.58 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $85.11 Typical High $102.33 | Professional | 55 · Aftercare only | $85.11 | $85.11 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $57.54 Typical High $69.18 | Professional | 56 · Pre-op care only | $57.54 | $57.54 | $69.18 |
Where Georgia sits
The same service costs 3.9 times more in Alaska than in New York. 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· 36th of 51
$776
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.