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 $114.82 Median $3,548.13 Typical High $7,585.78 | Facility | None | $114.82 | $3,548.13 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $114.82 Typical High $302.00 | Professional | None | $63.10 | $114.82 | $302.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $72.44 Median $123.03 Typical High $204.17 | Professional | None | $72.44 | $123.03 | $204.17 |
CareSource Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None | $64.57 | $64.57 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $60.26 Median $147.91 Typical High $1,288.25 | Professional | None | $60.26 | $147.91 | $1,288.25 |
Oscar Health Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None | $147.91 | $147.91 | $147.91 |
United Setting Professional Modifier None Typical Low $74.13 Median $131.83 Typical High $295.12 | Professional | None | $74.13 | $131.83 | $295.12 |
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 $31.62 Median $42.66 Typical High $60.26 | Professional | 52 · Reduced service | $31.62 | $42.66 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $16.98 Typical High $24.55 | Professional | 53 · Discontinued | $12.59 | $16.98 | $24.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $12.59 Typical High $18.20 | Professional | 55 · Aftercare only | $9.55 | $12.59 | $18.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.31 Median $8.51 Typical High $12.02 | Professional | 56 · Pre-op care only | $6.31 | $8.51 | $12.02 |
Where Georgia sits
The same service costs 2.3 times more in Alaska than in Michigan. 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· 23rd of 51
$123
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.