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 $1,778.28 Median $1,778.28 Typical High $26,915.35 | Facility | None | $1,778.28 | $1,778.28 | $26,915.35 |
Aetna Setting Professional Modifier None Typical Low $1,412.54 Median $1,778.28 Typical High $2,754.23 | Professional | None | $1,412.54 | $1,778.28 | $2,754.23 |
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 $870.96 Median $2,041.74 Typical High $2,754.23 | Professional | None | $870.96 | $2,041.74 | $2,754.23 |
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 $2,290.87 Median $2,290.87 Typical High $2,290.87 | Professional | None | $2,290.87 | $2,290.87 | $2,290.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,884.03 Median $7,413.10 Typical High $9,772.37 | Professional | None | $2,884.03 | $7,413.10 | $9,772.37 |
United Setting Facility Modifier None Typical Low $2,691.53 Median $7,585.78 Typical High $8,912.51 | Facility | None | $2,691.53 | $7,585.78 | $8,912.51 |
United Setting Professional Modifier None Typical Low $223.87 Median $2,818.38 Typical High $5,754.40 | Professional | None | $223.87 | $2,818.38 | $5,754.40 |
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 $691.83 Median $891.25 Typical High $1,258.93 | Professional | 52 · Reduced service | $691.83 | $891.25 | $1,258.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $354.81 Typical High $501.19 | Professional | 53 · Discontinued | $281.84 | $354.81 | $501.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,047.13 Median $1,318.26 Typical High $1,905.46 | Professional | 54 · Surgery only | $1,047.13 | $1,318.26 | $1,905.46 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $263.03 Typical High $380.19 | Professional | 55 · Aftercare only | $208.93 | $263.03 | $380.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $177.83 Typical High $251.19 | Professional | 56 · Pre-op care only | $141.25 | $177.83 | $251.19 |
Where Georgia sits
The same service costs 9.3 times more in Alaska than in Indiana. 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· 41st of 51
$2,042
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.