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 $31.62 Median $3,548.13 Typical High $7,585.78 | Facility | None | $31.62 | $3,548.13 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $35.48 Typical High $83.18 | Professional | None | $23.99 | $35.48 | $83.18 |
Ambetter Setting Professional Modifier None Typical Low $45.71 Median $69.18 Typical High $72.44 | Professional | None | $45.71 | $69.18 | $72.44 |
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 $35.48 Median $51.29 Typical High $95.50 | Professional | None | $35.48 | $51.29 | $95.50 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $22.91 Median $33.11 Typical High $61.66 | Professional | 62 · Two surgeons | $22.91 | $33.11 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $512.86 Typical High $3,235.94 | Facility | None | $331.13 | $512.86 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $56.23 Typical High $89.13 | Professional | None | $30.90 | $56.23 | $89.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $28.84 Median $43.65 Typical High $67.61 | Professional | None | $28.84 | $43.65 | $67.61 |
United Setting Facility Modifier None Typical Low $79.43 Median $158.49 Typical High $1,778.28 | Facility | None | $79.43 | $158.49 | $1,778.28 |
United Setting Professional Modifier None Typical Low $30.90 Median $52.48 Typical High $85.11 | Professional | None | $30.90 | $52.48 | $85.11 |
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 $11.75 Median $15.85 Typical High $20.89 | Professional | 52 · Reduced service | $11.75 | $15.85 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $6.31 Typical High $8.51 | Professional | 53 · Discontinued | $4.79 | $6.31 | $8.51 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $17.78 Median $23.44 Typical High $31.62 | Professional | 54 · Surgery only | $17.78 | $23.44 | $31.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.55 Median $4.68 Typical High $6.31 | Professional | 55 · Aftercare only | $3.55 | $4.68 | $6.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.40 Median $3.16 Typical High $4.27 | Professional | 56 · Pre-op care only | $2.40 | $3.16 | $4.27 |
Where Georgia sits
The same service costs 3.3 times more in Alaska 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· 21st of 51
$51.29
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.