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 $691.83 Median $7,413.10 Typical High $36,307.81 | Facility | None | $691.83 | $7,413.10 | $36,307.81 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $7,413.10 | Professional | None | $691.83 | $691.83 | $7,413.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,288.25 Median $2,398.83 Typical High $24,547.09 | Facility | None | $1,288.25 | $2,398.83 | $24,547.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.24 Median $3.98 Typical High $3.98 | Professional | None | $3.24 | $3.98 | $3.98 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $549.54 Typical High $16,595.87 | Facility | None | $446.68 | $549.54 | $16,595.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $16,218.10 Median $16,218.10 Typical High $16,218.10 | Professional | None | $16,218.10 | $16,218.10 | $16,218.10 |
United Setting Facility Modifier None Typical Low $371.54 Median $645.65 Typical High $7,244.36 | Facility | None | $371.54 | $645.65 | $7,244.36 |
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 $346.74 Median $346.74 Typical High $346.74 | Professional | 52 · Reduced service | $346.74 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | 53 · Discontinued | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | 54 · Surgery only | $512.86 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | 55 · Aftercare only | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 56 · Pre-op care only | $69.18 | $69.18 | $69.18 |
Where Georgia sits
The same service costs 6025.6 times more in Oklahoma than in Maine. 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· 47th of 51
$692
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.