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 $977.24 Median $5,370.32 Typical High $7,943.28 | Facility | None | $977.24 | $5,370.32 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $1,479.11 | Professional | None | $346.74 | $346.74 | $1,479.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $562.34 Median $1,071.52 Typical High $4,570.88 | Facility | None | $562.34 | $1,071.52 | $4,570.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $346.74 Median $467.74 Typical High $794.33 | Professional | None | $346.74 | $467.74 | $794.33 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $537.03 Median $707.95 Typical High $1,202.26 | Professional | 50 · Both sides | $537.03 | $707.95 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $2,041.74 Typical High $2,691.53 | Facility | None | $602.56 | $2,041.74 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $562.34 Typical High $1,122.02 | Professional | None | $398.11 | $562.34 | $1,122.02 |
Kaiser Permanente Setting Professional Modifier None Typical Low $309.03 Median $389.05 Typical High $1,905.46 | Professional | None | $309.03 | $389.05 | $1,905.46 |
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 $354.81 Median $562.34 Typical High $1,047.13 | Professional | None | $354.81 | $562.34 | $1,047.13 |
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 $173.78 Median $173.78 Typical High $208.93 | Professional | 52 · Reduced service | $173.78 | $173.78 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $69.18 Typical High $83.18 | Professional | 53 · Discontinued | $69.18 | $69.18 | $83.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $263.03 Median $263.03 Typical High $309.03 | Professional | 54 · Surgery only | $263.03 | $263.03 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $52.48 Typical High $63.10 | Professional | 55 · Aftercare only | $52.48 | $52.48 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $34.67 Typical High $41.69 | Professional | 56 · Pre-op care only | $34.67 | $34.67 | $41.69 |
Where Georgia sits
The same service costs 4.7 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· 23rd of 51
$575
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.