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 $467.74 Median $3,630.78 Typical High $7,943.28 | Facility | None | $467.74 | $3,630.78 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $602.56 | Professional | None | $467.74 | $467.74 | $602.56 |
Ambetter Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $691.83 Median $1,348.96 Typical High $9,332.54 | Facility | None | $691.83 | $1,348.96 | $9,332.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $371.54 Median $630.96 Typical High $1,023.29 | Professional | None | $371.54 | $630.96 | $1,023.29 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $72.44 Median $102.33 Typical High $190.55 | Professional | 80 · Assistant surgeon | $72.44 | $102.33 | $190.55 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $63.10 Median $89.13 Typical High $158.49 | Professional | AS · PA/NP assist | $63.10 | $89.13 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $2,630.27 Typical High $3,630.78 | Facility | None | $1,380.38 | $2,630.27 | $3,630.78 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $691.83 Typical High $1,412.54 | Professional | None | $512.86 | $691.83 | $1,412.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $389.05 Median $489.78 Typical High $1,698.24 | Professional | None | $389.05 | $489.78 | $1,698.24 |
Oscar Health Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | None | $724.44 | $724.44 | $724.44 |
United Setting Facility Modifier None Typical Low $954.99 Median $1,995.26 Typical High $7,943.28 | Facility | None | $954.99 | $1,995.26 | $7,943.28 |
United Setting Professional Modifier None Typical Low $457.09 Median $660.69 Typical High $1,288.25 | Professional | None | $457.09 | $660.69 | $1,288.25 |
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 $354.81 Median $354.81 Typical High $457.09 | Professional | 54 · Surgery only | $354.81 | $354.81 | $457.09 |
Where Georgia sits
The same service costs 4.3 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· 27th of 51
$661
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.