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 $97.72 Median $3,548.13 Typical High $7,585.78 | Facility | None | $97.72 | $3,548.13 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $107.15 Typical High $147.91 | Professional | None | $81.28 | $107.15 | $147.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $7,943.28 Median $7,943.28 Typical High $7,943.28 | Facility | None | $7,943.28 | $7,943.28 | $7,943.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $77.62 Median $134.90 Typical High $229.09 | Professional | None | $77.62 | $134.90 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $144.54 Typical High $269.15 | Professional | None | $91.20 | $144.54 | $269.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $89.13 Median $134.90 Typical High $234.42 | Professional | None | $89.13 | $134.90 | $234.42 |
United Setting Facility Modifier None Typical Low $691.83 Median $1,778.28 Typical High $2,818.38 | Facility | None | $691.83 | $1,778.28 | $2,818.38 |
United Setting Professional Modifier None Typical Low $83.18 Median $131.83 Typical High $251.19 | Professional | None | $83.18 | $131.83 | $251.19 |
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 $40.74 Median $52.48 Typical High $63.10 | Professional | 52 · Reduced service | $40.74 | $52.48 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $20.89 Typical High $25.12 | Professional | 53 · Discontinued | $16.22 | $20.89 | $25.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $61.66 Median $77.62 Typical High $95.50 | Professional | 54 · Surgery only | $61.66 | $77.62 | $95.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $15.49 Typical High $19.05 | Professional | 55 · Aftercare only | $12.30 | $15.49 | $19.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.13 Median $10.47 Typical High $12.59 | Professional | 56 · Pre-op care only | $8.13 | $10.47 | $12.59 |
Where Georgia sits
The same service costs 3.8 times more in Alaska than in Florida. 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· 18th of 51
$135
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.