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 $724.44 Median $912.01 Typical High $933.25 | Facility | None | $724.44 | $912.01 | $933.25 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $912.01 Typical High $1,905.46 | Professional | None | $724.44 | $912.01 | $1,905.46 |
Ambetter Setting Professional Modifier None Typical Low $1,023.29 Median $1,548.82 Typical High $2,089.30 | Professional | None | $1,023.29 | $1,548.82 | $2,089.30 |
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 $741.31 Median $1,047.13 Typical High $1,905.46 | Professional | None | $741.31 | $1,047.13 | $1,905.46 |
CareSource Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,380.38 | Professional | None | $1,258.93 | $1,258.93 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $2,511.89 Typical High $4,265.80 | Facility | None | $512.86 | $2,511.89 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $1,000.00 Typical High $2,187.76 | Professional | None | $616.60 | $1,000.00 | $2,187.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $831.76 Median $1,202.26 Typical High $1,621.81 | Professional | None | $831.76 | $1,202.26 | $1,621.81 |
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 $660.69 Median $1,071.52 Typical High $2,187.76 | Professional | None | $660.69 | $1,071.52 | $2,187.76 |
3 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 $363.08 Median $426.58 Typical High $489.78 | Professional | 52 · Reduced service | $363.08 | $426.58 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $128.82 Typical High $147.91 | Professional | 55 · Aftercare only | $107.15 | $128.82 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $85.11 Typical High $97.72 | Professional | 56 · Pre-op care only | $72.44 | $85.11 | $97.72 |
Where Georgia sits
The same service costs 3.2 times more in Alaska than in Indiana. 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· 22nd of 51
$1,047
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.