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 $91.20 Median $3,548.13 Typical High $7,585.78 | Facility | None | $91.20 | $3,548.13 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $91.20 Typical High $229.09 | Professional | None | $67.61 | $91.20 | $229.09 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | 50 · Both sides | $186.21 | $186.21 | $186.21 |
Anthem BCBS Setting Facility Modifier None Typical Low $380.19 Median $776.25 Typical High $3,630.78 | Facility | None | $380.19 | $776.25 | $3,630.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $60.26 Median $93.33 Typical High $154.88 | Professional | None | $60.26 | $93.33 | $154.88 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $109.65 Median $151.36 Typical High $229.09 | Professional | 50 · Both sides | $109.65 | $151.36 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $61.66 Typical High $602.56 | Facility | None | $46.77 | $61.66 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $120.23 Typical High $229.09 | Professional | None | $77.62 | $120.23 | $229.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $77.62 Median $112.20 Typical High $263.03 | Professional | None | $77.62 | $112.20 | $263.03 |
Oscar Health Setting Professional Modifier None Typical Low $97.72 Median $131.83 Typical High $165.96 | Professional | None | $97.72 | $131.83 | $165.96 |
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 $69.18 Median $114.82 Typical High $204.17 | Professional | None | $69.18 | $114.82 | $204.17 |
2 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 54 · Surgery only Typical Low $51.29 Median $63.10 Typical High $74.13 | Professional | 54 · Surgery only | $51.29 | $63.10 | $74.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $47.86 Median $58.88 Typical High $69.18 | Professional | 78 · Unplanned return to OR | $47.86 | $58.88 | $69.18 |
Where Georgia sits
The same service costs 3.9 times more in Alaska than in Florida. 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· 25th of 51
$102
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.