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 $380.19 Median $3,548.13 Typical High $7,585.78 | Facility | None | $380.19 | $3,548.13 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $380.19 Typical High $537.03 | Professional | None | $165.96 | $380.19 | $537.03 |
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 $151.36 Median $269.15 Typical High $537.03 | Professional | None | $151.36 | $269.15 | $537.03 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $380.19 Typical High $891.25 | Professional | None | $190.55 | $380.19 | $891.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $173.78 Median $446.68 Typical High $630.96 | Professional | None | $173.78 | $446.68 | $630.96 |
Oscar Health Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None | $602.56 | $602.56 | $602.56 |
United Setting Facility Modifier None Typical Low $691.83 Median $1,778.28 Typical High $2,818.38 | Facility | None | $691.83 | $1,778.28 | $2,818.38 |
United Setting Professional Modifier None Typical Low $173.78 Median $371.54 Typical High $891.25 | Professional | None | $173.78 | $371.54 | $891.25 |
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 $83.18 Median $147.91 Typical High $199.53 | Professional | 52 · Reduced service | $83.18 | $147.91 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $58.88 Typical High $81.28 | Professional | 53 · Discontinued | $33.11 | $58.88 | $81.28 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $223.87 Typical High $302.00 | Professional | 54 · Surgery only | $125.89 | $223.87 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $44.67 Typical High $60.26 | Professional | 55 · Aftercare only | $25.12 | $44.67 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $29.51 Typical High $40.74 | Professional | 56 · Pre-op care only | $16.60 | $29.51 | $40.74 |
Where Georgia sits
The same service costs 3.3 times more in Alaska than in Virginia. 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· 43rd of 51
$288
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.