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 $162.18 Median $4,897.79 Typical High $7,585.78 | Facility | None | $162.18 | $4,897.79 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $181.97 Typical High $478.63 | Professional | None | $120.23 | $181.97 | $478.63 |
Ambetter Setting Professional Modifier None Typical Low $125.89 Median $218.78 Typical High $416.87 | Professional | None | $125.89 | $218.78 | $416.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $380.19 Median $776.25 Typical High $3,630.78 | Facility | None | $380.19 | $776.25 | $3,630.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $144.54 Median $251.19 Typical High $407.38 | Professional | None | $144.54 | $251.19 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $223.87 Typical High $660.69 | Facility | None | $165.96 | $223.87 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $257.04 Typical High $537.03 | Professional | None | $154.88 | $257.04 | $537.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $141.25 Median $251.19 Typical High $562.34 | Professional | None | $141.25 | $251.19 | $562.34 |
Oscar Health Setting Professional Modifier None Typical Low $239.88 Median $363.08 Typical High $426.58 | Professional | None | $239.88 | $363.08 | $426.58 |
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 $154.88 Median $251.19 Typical High $501.19 | Professional | None | $154.88 | $251.19 | $501.19 |
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 $91.20 Median $134.90 Typical High $177.83 | Professional | 54 · Surgery only | $91.20 | $134.90 | $177.83 |
Where Georgia sits
The same service costs 4.2 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
$251
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.