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 $162.18 Median $3,548.13 Typical High $7,585.78 | Facility | None | $162.18 | $3,548.13 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $162.18 Typical High $371.54 | Professional | None | $117.49 | $162.18 | $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 $104.71 Median $162.18 Typical High $251.19 | Professional | None | $104.71 | $162.18 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $125.89 Typical High $776.25 | Facility | None | $91.20 | $125.89 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $213.80 Typical High $436.52 | Professional | None | $134.90 | $213.80 | $436.52 |
Kaiser Permanente Setting Professional Modifier None Typical Low $134.90 Median $213.80 Typical High $851.14 | Professional | None | $134.90 | $213.80 | $851.14 |
Oscar Health Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None | $295.12 | $295.12 | $295.12 |
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 $199.53 Typical High $363.08 | Professional | None | $120.23 | $199.53 | $363.08 |
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 $58.88 Median $70.79 Typical High $87.10 | Professional | 52 · Reduced service | $58.88 | $70.79 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $28.84 Typical High $34.67 | Professional | 53 · Discontinued | $23.44 | $28.84 | $34.67 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $89.13 Median $107.15 Typical High $128.82 | Professional | 54 · Surgery only | $89.13 | $107.15 | $128.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.78 Median $21.38 Typical High $26.30 | Professional | 55 · Aftercare only | $17.78 | $21.38 | $26.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $14.45 Typical High $17.38 | Professional | 56 · Pre-op care only | $11.75 | $14.45 | $17.38 |
Where Georgia sits
The same service costs 3.5 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· 31st of 51
$178
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.