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 $123.03 Median $3,548.13 Typical High $7,585.78 | Facility | None | $123.03 | $3,548.13 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $47.86 Typical High $123.03 | Professional | None | $38.02 | $47.86 | $123.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $389.05 Median $851.14 Typical High $4,570.88 | Facility | None | $389.05 | $851.14 | $4,570.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $42.66 Median $74.13 Typical High $112.20 | Professional | None | $42.66 | $74.13 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $1,949.84 Typical High $2,454.71 | Facility | None | $398.11 | $1,949.84 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $77.62 Typical High $131.83 | Professional | None | $48.98 | $77.62 | $131.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $44.67 Median $53.70 Typical High $229.09 | Professional | None | $44.67 | $53.70 | $229.09 |
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 $48.98 Median $70.79 Typical High $117.49 | Professional | None | $48.98 | $70.79 | $117.49 |
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 $28.18 Median $28.18 Typical High $38.90 | Professional | 54 · Surgery only | $28.18 | $28.18 | $38.90 |
Where Georgia sits
The same service costs 20.9 times more in Oklahoma than in Kentucky. 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· 24th of 51
$81.28
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.