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 $54.95 Median $54.95 Typical High $8,317.64 | Facility | None | $54.95 | $54.95 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $64.57 | Professional | None | $54.95 | $54.95 | $64.57 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,630.78 Median $7,079.46 Typical High $15,848.93 | Facility | None | $3,630.78 | $7,079.46 | $15,848.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $52.48 Median $95.50 Typical High $134.90 | Professional | None | $52.48 | $95.50 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $6,456.54 Median $7,244.36 Typical High $7,244.36 | Facility | None | $6,456.54 | $7,244.36 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $104.71 Typical High $190.55 | Professional | None | $72.44 | $104.71 | $190.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $58.88 Median $66.07 Typical High $407.38 | Professional | None | $58.88 | $66.07 | $407.38 |
United Setting Facility Modifier None Typical Low $79.43 Median $158.49 Typical High $1,862.09 | Facility | None | $79.43 | $158.49 | $1,862.09 |
United Setting Professional Modifier None Typical Low $61.66 Median $100.00 Typical High $177.83 | Professional | None | $61.66 | $100.00 | $177.83 |
1 more rate 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 54 · Surgery only Typical Low $41.69 Median $41.69 Typical High $48.98 | Professional | 54 · Surgery only | $41.69 | $41.69 | $48.98 |
Where Georgia sits
The same service costs 3.5 times more in Wisconsin than in South Carolina. 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· 13th of 51
$100
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.