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 $4,265.80 Median $5,370.32 Typical High $7,943.28 | Facility | None | $4,265.80 | $5,370.32 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $5,495.41 | Professional | None | $4,265.80 | $4,265.80 | $5,495.41 |
Anthem BCBS Setting Facility Modifier None Typical Low $575.44 Median $1,148.15 Typical High $5,754.40 | Facility | None | $575.44 | $1,148.15 | $5,754.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $3,019.95 Median $4,073.80 Typical High $4,073.80 | Professional | None | $3,019.95 | $4,073.80 | $4,073.80 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $2,089.30 Typical High $2,691.53 | Facility | None | $602.56 | $2,089.30 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $3,890.45 Median $9,549.93 Typical High $13,803.84 | Professional | None | $3,890.45 | $9,549.93 | $13,803.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4,265.80 Median $5,128.61 Typical High $7,244.36 | Professional | None | $4,265.80 | $5,128.61 | $7,244.36 |
United Setting Facility Modifier None Typical Low $371.54 Median $645.65 Typical High $3,981.07 | Facility | None | $371.54 | $645.65 | $3,981.07 |
United Setting Professional Modifier None Typical Low $4,073.80 Median $6,309.57 Typical High $10,000.00 | Professional | None | $4,073.80 | $6,309.57 | $10,000.00 |
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 $2,137.96 Median $2,137.96 Typical High $2,754.23 | Professional | 52 · Reduced service | $2,137.96 | $2,137.96 | $2,754.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $851.14 Median $851.14 Typical High $1,096.48 | Professional | 53 · Discontinued | $851.14 | $851.14 | $1,096.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $3,235.94 Median $3,235.94 Typical High $4,073.80 | Professional | 54 · Surgery only | $3,235.94 | $3,235.94 | $4,073.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $645.65 Median $645.65 Typical High $812.83 | Professional | 55 · Aftercare only | $645.65 | $645.65 | $812.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $426.58 Median $426.58 Typical High $549.54 | Professional | 56 · Pre-op care only | $426.58 | $426.58 | $549.54 |
Where Georgia sits
The same service costs 4.4 times more in Alaska than in Arkansas. 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· 49th of 51
$3,311
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.