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 $316.23 Median $3,548.13 Typical High $7,585.78 | Facility | None | $316.23 | $3,548.13 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $316.23 Typical High $758.58 | Professional | None | $234.42 | $316.23 | $758.58 |
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 $213.80 Median $281.84 Typical High $524.81 | Professional | None | $213.80 | $281.84 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $218.78 Typical High $660.69 | Facility | None | $162.18 | $218.78 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $380.19 Typical High $645.65 | Professional | None | $218.78 | $380.19 | $645.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $213.80 Median $346.74 Typical High $724.44 | Professional | None | $213.80 | $346.74 | $724.44 |
Oscar Health Setting Professional Modifier None Typical Low $263.03 Median $316.23 Typical High $537.03 | Professional | None | $263.03 | $316.23 | $537.03 |
United Setting Facility Modifier None Typical Low $331.13 Median $501.19 Typical High $2,454.71 | Facility | None | $331.13 | $501.19 | $2,454.71 |
United Setting Professional Modifier None Typical Low $223.87 Median $371.54 Typical High $630.96 | Professional | None | $223.87 | $371.54 | $630.96 |
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 $117.49 Median $134.90 Typical High $173.78 | Professional | 52 · Reduced service | $117.49 | $134.90 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $53.70 Typical High $69.18 | Professional | 53 · Discontinued | $46.77 | $53.70 | $69.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $204.17 Typical High $263.03 | Professional | 54 · Surgery only | $177.83 | $204.17 | $263.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $40.74 Typical High $52.48 | Professional | 55 · Aftercare only | $35.48 | $40.74 | $52.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $26.92 Typical High $34.67 | Professional | 56 · Pre-op care only | $23.44 | $26.92 | $34.67 |
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· 28th of 51
$324
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.