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 $363.08 Median $3,548.13 Typical High $7,585.78 | Facility | None | $363.08 | $3,548.13 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $302.00 Typical High $380.19 | Professional | None | $158.49 | $302.00 | $380.19 |
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 $141.25 Median $251.19 Typical High $501.19 | Professional | None | $141.25 | $251.19 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $371.54 Typical High $851.14 | Professional | None | $186.21 | $371.54 | $851.14 |
Kaiser Permanente Setting Professional Modifier None Typical Low $162.18 Median $407.38 Typical High $616.60 | Professional | None | $162.18 | $407.38 | $616.60 |
Oscar Health Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None | $549.54 | $549.54 | $549.54 |
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 $165.96 Median $346.74 Typical High $812.83 | Professional | None | $165.96 | $346.74 | $812.83 |
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 $79.43 Median $138.04 Typical High $190.55 | Professional | 52 · Reduced service | $79.43 | $138.04 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $56.23 Typical High $75.86 | Professional | 53 · Discontinued | $31.62 | $56.23 | $75.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $120.23 Median $208.93 Typical High $281.84 | Professional | 54 · Surgery only | $120.23 | $208.93 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.99 Median $41.69 Typical High $56.23 | Professional | 55 · Aftercare only | $23.99 | $41.69 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $28.18 Typical High $38.02 | Professional | 56 · Pre-op care only | $15.85 | $28.18 | $38.02 |
Where Georgia sits
The same service costs 3.5 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· 35th 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.