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 $53.70 Median $5,370.32 Typical High $7,585.78 | Facility | None | $53.70 | $5,370.32 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $63.10 Typical High $79.43 | Professional | None | $53.70 | $63.10 | $79.43 |
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 $46.77 Median $72.44 Typical High $144.54 | Professional | None | $46.77 | $72.44 | $144.54 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $75.86 Median $107.15 Typical High $218.78 | Professional | 50 · Both sides | $75.86 | $107.15 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $42.66 Typical High $117.49 | Facility | None | $33.11 | $42.66 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $83.18 Typical High $147.91 | Professional | None | $56.23 | $83.18 | $147.91 |
Kaiser Permanente Setting Professional Modifier None Typical Low $50.12 Median $75.86 Typical High $309.03 | Professional | None | $50.12 | $75.86 | $309.03 |
Oscar Health Setting Professional Modifier None Typical Low $60.26 Median $79.43 Typical High $95.50 | Professional | None | $60.26 | $79.43 | $95.50 |
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 $52.48 Median $81.28 Typical High $144.54 | Professional | None | $52.48 | $81.28 | $144.54 |
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 $26.92 Median $30.90 Typical High $38.90 | Professional | 52 · Reduced service | $26.92 | $30.90 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $12.30 Typical High $15.49 | Professional | 53 · Discontinued | $10.72 | $12.30 | $15.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $40.74 Median $46.77 Typical High $58.88 | Professional | 54 · Surgery only | $40.74 | $46.77 | $58.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $9.33 Typical High $11.75 | Professional | 55 · Aftercare only | $8.13 | $9.33 | $11.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $6.17 Typical High $7.76 | Professional | 56 · Pre-op care only | $5.37 | $6.17 | $7.76 |
Where Georgia sits
The same service costs 3.7 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· 24th of 51
$75.86
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.