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 $134.90 Median $181.97 Typical High $398.11 | Professional | None | $134.90 | $181.97 | $398.11 |
Ambetter Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None | $257.04 | $257.04 | $257.04 |
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 $114.82 Median $186.21 Typical High $295.12 | Professional | None | $114.82 | $186.21 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $134.90 Typical High $776.25 | Facility | None | $97.72 | $134.90 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $251.19 Typical High $489.78 | Professional | None | $158.49 | $251.19 | $489.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $151.36 Median $234.42 Typical High $1,096.48 | Professional | None | $151.36 | $234.42 | $1,096.48 |
Oscar Health Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None | $331.13 | $331.13 | $331.13 |
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 $141.25 Median $234.42 Typical High $416.87 | Professional | None | $141.25 | $234.42 | $416.87 |
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 $67.61 Median $81.28 Typical High $100.00 | Professional | 52 · Reduced service | $67.61 | $81.28 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $33.11 Typical High $39.81 | Professional | 53 · Discontinued | $27.54 | $33.11 | $39.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $102.33 Median $123.03 Typical High $147.91 | Professional | 54 · Surgery only | $102.33 | $123.03 | $147.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $24.55 Typical High $29.51 | Professional | 55 · Aftercare only | $20.42 | $24.55 | $29.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.49 Median $16.22 Typical High $19.95 | Professional | 56 · Pre-op care only | $13.49 | $16.22 | $19.95 |
Where Georgia sits
The same service costs 3.6 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· 27th of 51
$209
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.