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 $575.44 Median $3,630.78 Typical High $7,943.28 | Facility | None | $575.44 | $3,630.78 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $575.44 Typical High $1,096.48 | Professional | None | $489.78 | $575.44 | $1,096.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $562.34 Median $645.65 Typical High $831.76 | Professional | None | $562.34 | $645.65 | $831.76 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $891.25 Median $1,071.52 Typical High $1,258.93 | Professional | 50 · Both sides | $891.25 | $1,071.52 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $389.05 Typical High $660.69 | Facility | None | $302.00 | $389.05 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | None | $588.84 | $588.84 | $588.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $3,090.30 | Professional | None | $741.31 | $741.31 | $3,090.30 |
United Setting Facility Modifier None Typical Low $331.13 Median $501.19 Typical High $2,454.71 | Facility | None | $331.13 | $501.19 | $2,454.71 |
United Setting Professional Modifier None Typical Low $524.81 Median $870.96 Typical High $1,513.56 | Professional | None | $524.81 | $870.96 | $1,513.56 |
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 $245.47 Median $288.40 Typical High $295.12 | Professional | 52 · Reduced service | $245.47 | $288.40 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $114.82 Typical High $117.49 | Professional | 53 · Discontinued | $97.72 | $114.82 | $117.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $426.58 Typical High $446.68 | Professional | 54 · Surgery only | $371.54 | $426.58 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $85.11 Typical High $89.13 | Professional | 55 · Aftercare only | $74.13 | $85.11 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $48.98 Median $57.54 Typical High $58.88 | Professional | 56 · Pre-op care only | $48.98 | $57.54 | $58.88 |
Where Georgia sits
The same service costs 3.6 times more in Alaska than in Florida. 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· 39th of 51
$617
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.