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 $181.97 Median $3,548.13 Typical High $7,585.78 | Facility | None | $181.97 | $3,548.13 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $181.97 Typical High $354.81 | Professional | None | $120.23 | $181.97 | $354.81 |
Ambetter Setting Professional Modifier None Typical Low $194.98 Median $346.74 Typical High $371.54 | Professional | None | $194.98 | $346.74 | $371.54 |
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 $102.33 Median $162.18 Typical High $251.19 | Professional | None | $102.33 | $162.18 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $154.88 Typical High $776.25 | Facility | None | $112.20 | $154.88 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $234.42 Typical High $457.09 | Professional | None | $138.04 | $234.42 | $457.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $134.90 Median $234.42 Typical High $933.25 | Professional | None | $134.90 | $234.42 | $933.25 |
Oscar Health Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None | $323.59 | $323.59 | $323.59 |
United Setting Facility Modifier None Typical Low $331.13 Median $489.78 Typical High $2,454.71 | Facility | None | $331.13 | $489.78 | $2,454.71 |
United Setting Professional Modifier None Typical Low $120.23 Median $208.93 Typical High $407.38 | Professional | None | $120.23 | $208.93 | $407.38 |
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 $60.26 Median $77.62 Typical High $97.72 | Professional | 52 · Reduced service | $60.26 | $77.62 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $30.90 Typical High $38.90 | Professional | 53 · Discontinued | $23.99 | $30.90 | $38.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $89.13 Median $117.49 Typical High $144.54 | Professional | 54 · Surgery only | $89.13 | $117.49 | $144.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.78 Median $23.44 Typical High $28.84 | Professional | 55 · Aftercare only | $17.78 | $23.44 | $28.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $15.49 Typical High $19.50 | Professional | 56 · Pre-op care only | $12.02 | $15.49 | $19.50 |
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· 26th of 51
$191
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.