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 $2,238.72 Median $2,238.72 Typical High $26,915.35 | Facility | None | $2,238.72 | $2,238.72 | $26,915.35 |
Aetna Setting Professional Modifier None Typical Low $1,778.28 Median $2,238.72 Typical High $3,311.31 | Professional | None | $1,778.28 | $2,238.72 | $3,311.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $22,387.21 Median $43,651.58 Typical High $56,234.13 | Facility | None | $22,387.21 | $43,651.58 | $56,234.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $977.24 Median $2,630.27 Typical High $3,467.37 | Professional | None | $977.24 | $2,630.27 | $3,467.37 |
Cigna Setting Facility Modifier None Typical Low $10,000.00 Median $14,454.40 Typical High $14,454.40 | Facility | None | $10,000.00 | $14,454.40 | $14,454.40 |
Cigna Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,951.21 | $2,951.21 | $2,951.21 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,715.35 Median $9,549.93 Typical High $17,378.01 | Professional | None | $3,715.35 | $9,549.93 | $17,378.01 |
United Setting Facility Modifier None Typical Low $5,128.61 Median $8,709.64 Typical High $12,589.25 | Facility | None | $5,128.61 | $8,709.64 | $12,589.25 |
United Setting Professional Modifier None Typical Low $223.87 Median $3,715.35 Typical High $7,762.47 | Professional | None | $223.87 | $3,715.35 | $7,762.47 |
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 $891.25 Median $1,122.02 Typical High $1,548.82 | Professional | 52 · Reduced service | $891.25 | $1,122.02 | $1,548.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $354.81 Median $446.68 Typical High $616.60 | Professional | 53 · Discontinued | $354.81 | $446.68 | $616.60 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,318.26 Median $1,659.59 Typical High $2,290.87 | Professional | 54 · Surgery only | $1,318.26 | $1,659.59 | $2,290.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $263.03 Median $338.84 Typical High $457.09 | Professional | 55 · Aftercare only | $263.03 | $338.84 | $457.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $177.83 Median $223.87 Typical High $309.03 | Professional | 56 · Pre-op care only | $177.83 | $223.87 | $309.03 |
Where Georgia sits
The same service costs 14.1 times more in Alaska than in Missouri. 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· 37th of 51
$2,630
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.