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 $51.29 Median $3,548.13 Typical High $7,585.78 | Facility | None | $51.29 | $3,548.13 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $117.49 Typical High $288.40 | Professional | None | $51.29 | $117.49 | $288.40 |
Ambetter Setting Professional Modifier None Typical Low $75.86 Median $89.13 Typical High $97.72 | Professional | None | $75.86 | $89.13 | $97.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $371.54 Median $758.58 Typical High $3,630.78 | Facility | None | $371.54 | $758.58 | $3,630.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $46.77 Median $85.11 Typical High $158.49 | Professional | None | $46.77 | $85.11 | $158.49 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $89.13 Median $147.91 Typical High $245.47 | Professional | 50 · Both sides | $89.13 | $147.91 | $245.47 |
CareSource Setting Professional Modifier None Typical Low $97.72 Median $128.82 Typical High $158.49 | Professional | None | $97.72 | $128.82 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $120.23 Typical High $602.56 | Facility | None | $91.20 | $120.23 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $147.91 Typical High $295.12 | Professional | None | $83.18 | $147.91 | $295.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $61.66 Median $144.54 Typical High $204.17 | Professional | None | $61.66 | $144.54 | $204.17 |
Oscar Health Setting Professional Modifier None Typical Low $75.86 Median $162.18 Typical High $181.97 | Professional | None | $75.86 | $162.18 | $181.97 |
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 $53.70 Median $112.20 Typical High $263.03 | Professional | None | $53.70 | $112.20 | $263.03 |
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 $25.70 Median $48.98 Typical High $61.66 | Professional | 52 · Reduced service | $25.70 | $48.98 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $19.50 Typical High $24.55 | Professional | 53 · Discontinued | $10.23 | $19.50 | $24.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $38.02 Median $74.13 Typical High $91.20 | Professional | 54 · Surgery only | $38.02 | $74.13 | $91.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.59 Median $14.79 Typical High $18.20 | Professional | 55 · Aftercare only | $7.59 | $14.79 | $18.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $9.77 Typical High $12.30 | Professional | 56 · Pre-op care only | $5.13 | $9.77 | $12.30 |
Where Georgia sits
The same service costs 3.4 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· 24th of 51
$112
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.