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 $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $588.84 | Professional | None | $512.86 | $512.86 | $588.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $501.19 Median $1,737.80 Typical High $1,819.70 | Facility | None | $501.19 | $1,737.80 | $1,819.70 |
Anthem BCBS Setting Professional Modifier None Typical Low $371.54 Median $512.86 Typical High $524.81 | Professional | None | $371.54 | $512.86 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $954.99 Typical High $1,380.38 | Facility | None | $575.44 | $954.99 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None | $512.86 | $512.86 | $512.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $354.81 Median $489.78 Typical High $549.54 | Professional | None | $354.81 | $489.78 | $549.54 |
United Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $645.65 | Professional | None | $501.19 | $501.19 | $645.65 |
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 $257.04 Median $257.04 Typical High $295.12 | Professional | 52 · Reduced service | $257.04 | $257.04 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $102.33 Typical High $117.49 | Professional | 53 · Discontinued | $102.33 | $102.33 | $117.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $77.62 Typical High $89.13 | Professional | 55 · Aftercare only | $77.62 | $77.62 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $51.29 Typical High $58.88 | Professional | 56 · Pre-op care only | $51.29 | $51.29 | $58.88 |
Where Georgia sits
The same service costs 1.6 times more in Arizona than in Nebraska. 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· 28th of 51
$513
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.