How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $707.95 Median $707.95 Typical High $812.83 | Facility | None | $707.95 | $707.95 | $812.83 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $831.76 | Professional | None | $707.95 | $707.95 | $831.76 |
Anthem BCBS Setting Professional Modifier None Typical Low $707.95 Median $851.14 Typical High $1,445.44 | Professional | None | $707.95 | $851.14 | $1,445.44 |
CareSource Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | None | $707.95 | $707.95 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $933.25 Typical High $2,089.30 | Professional | None | $645.65 | $933.25 | $2,089.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $891.25 Median $1,122.02 Typical High $3,890.45 | Professional | None | $891.25 | $1,122.02 | $3,890.45 |
Oscar Health Setting Professional Modifier None Typical Low $812.83 Median $1,412.54 Typical High $1,862.09 | Professional | None | $812.83 | $1,412.54 | $1,862.09 |
United Setting Professional Modifier None Typical Low $616.60 Median $954.99 Typical High $2,238.72 | Professional | None | $616.60 | $954.99 | $2,238.72 |
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 $354.81 Median $354.81 Typical High $416.87 | Professional | 52 · Reduced service | $354.81 | $354.81 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $144.54 Typical High $165.96 | Professional | 53 · Discontinued | $144.54 | $144.54 | $165.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $107.15 Typical High $125.89 | Professional | 55 · Aftercare only | $107.15 | $107.15 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $70.79 Typical High $83.18 | Professional | 56 · Pre-op care only | $70.79 | $70.79 | $83.18 |
Where Georgia sits
The same service costs 3.2 times more in Alaska than in New York. 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· 23rd of 51
$851
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.