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 $812.83 Median $812.83 Typical High $812.83 | Facility | None | $812.83 | $812.83 | $812.83 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $812.83 Typical High $812.83 | Professional | None | $794.33 | $812.83 | $812.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $794.33 Median $2,754.23 Typical High $2,951.21 | Facility | None | $794.33 | $2,754.23 | $2,951.21 |
Anthem BCBS Setting Professional Modifier None Typical Low $602.56 Median $758.58 Typical High $812.83 | Professional | None | $602.56 | $758.58 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $933.25 Typical High $1,479.11 | Facility | None | $831.76 | $933.25 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | None | $794.33 | $794.33 | $794.33 |
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 $398.11 Median $407.38 Typical High $407.38 | Professional | 52 · Reduced service | $398.11 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $162.18 Typical High $162.18 | Professional | 53 · Discontinued | $158.49 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | 55 · Aftercare only | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $81.28 Typical High $81.28 | Professional | 56 · Pre-op care only | $79.43 | $81.28 | $81.28 |
Where Georgia sits
The same service costs 295.1 times more in Alabama than in Montana. 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· 50th of 51
$759
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.