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 $630.96 Median $7,413.10 Typical High $14,791.08 | Facility | None | $630.96 | $7,413.10 | $14,791.08 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $602.56 Typical High $707.95 | Professional | None | $575.44 | $602.56 | $707.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,047.13 Median $2,041.74 Typical High $11,748.98 | Facility | None | $1,047.13 | $2,041.74 | $11,748.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $512.86 Median $741.31 Typical High $1,548.82 | Professional | None | $512.86 | $741.31 | $1,548.82 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $794.33 Median $1,288.25 Typical High $2,454.71 | Professional | 50 · Both sides | $794.33 | $1,288.25 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $11,481.54 Typical High $14,454.40 | Facility | None | $602.56 | $11,481.54 | $14,454.40 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $977.24 Typical High $1,698.24 | Professional | None | $676.08 | $977.24 | $1,698.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $575.44 Median $691.83 Typical High $4,365.16 | Professional | None | $575.44 | $691.83 | $4,365.16 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $3,715.35 Typical High $10,000.00 | Facility | None | $1,513.56 | $3,715.35 | $10,000.00 |
United Setting Professional Modifier None Typical Low $645.65 Median $1,000.00 Typical High $1,584.89 | Professional | None | $645.65 | $1,000.00 | $1,584.89 |
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 $281.84 Median $281.84 Typical High $331.13 | Professional | 52 · Reduced service | $281.84 | $281.84 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $114.82 Typical High $131.83 | Professional | 53 · Discontinued | $114.82 | $114.82 | $131.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $426.58 Typical High $501.19 | Professional | 54 · Surgery only | $426.58 | $426.58 | $501.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $85.11 Typical High $100.00 | Professional | 55 · Aftercare only | $85.11 | $85.11 | $100.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $57.54 Typical High $66.07 | Professional | 56 · Pre-op care only | $57.54 | $57.54 | $66.07 |
Where Georgia sits
The same service costs 11.7 times more in Oklahoma than in Utah. 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
$891
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.