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 $275.42 Median $3,548.13 Typical High $7,585.78 | Facility | None | $275.42 | $3,548.13 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $223.87 Typical High $309.03 | Professional | None | $123.03 | $223.87 | $309.03 |
Ambetter Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None | $338.84 | $338.84 | $338.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $741.31 Median $2,290.87 Typical High $5,888.44 | Facility | None | $741.31 | $2,290.87 | $5,888.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $114.82 Median $208.93 Typical High $338.84 | Professional | None | $114.82 | $208.93 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $288.40 Typical High $630.96 | Professional | None | $141.25 | $288.40 | $630.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $125.89 Median $302.00 Typical High $1,584.89 | Professional | None | $125.89 | $302.00 | $1,584.89 |
United Setting Facility Modifier None Typical Low $1,148.15 Median $2,454.71 Typical High $4,265.80 | Facility | None | $1,148.15 | $2,454.71 | $4,265.80 |
United Setting Professional Modifier None Typical Low $125.89 Median $275.42 Typical High $660.69 | Professional | None | $125.89 | $275.42 | $660.69 |
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 $61.66 Median $100.00 Typical High $147.91 | Professional | 52 · Reduced service | $61.66 | $100.00 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $39.81 Typical High $58.88 | Professional | 53 · Discontinued | $24.55 | $39.81 | $58.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $91.20 Median $147.91 Typical High $218.78 | Professional | 54 · Surgery only | $91.20 | $147.91 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $30.20 Typical High $43.65 | Professional | 55 · Aftercare only | $18.20 | $30.20 | $43.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $19.95 Typical High $29.51 | Professional | 56 · Pre-op care only | $12.30 | $19.95 | $29.51 |
Where Georgia sits
The same service costs 3.4 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· 42nd of 51
$219
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.