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 $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $316.23 | Professional | None | $239.88 | $239.88 | $316.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $234.42 Median $275.42 Typical High $1,174.90 | Facility | None | $234.42 | $275.42 | $1,174.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $169.82 Median $239.88 Typical High $239.88 | Professional | None | $169.82 | $239.88 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $295.12 Typical High $467.74 | Facility | None | $263.03 | $295.12 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $218.78 Median $251.19 Typical High $724.44 | Professional | None | $218.78 | $251.19 | $724.44 |
Oscar Health Setting Facility Modifier None Typical Low $436.52 Median $549.54 Typical High $549.54 | Facility | None | $436.52 | $549.54 | $549.54 |
United Setting Professional Modifier None Typical Low $213.80 Median $281.84 Typical High $549.54 | Professional | None | $213.80 | $281.84 | $549.54 |
4 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 $120.23 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 53 · Discontinued | $47.86 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | 55 · Aftercare only | $36.31 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | 56 · Pre-op care only | $23.99 | $23.99 | $23.99 |
Where Georgia sits
The same service costs 2.1 times more in Arizona than in Alabama. 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· 35th of 51
$240
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.