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 $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $371.54 | Professional | None | $316.23 | $316.23 | $371.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $309.03 Median $1,071.52 Typical High $1,148.15 | Facility | None | $309.03 | $1,071.52 | $1,148.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $251.19 Median $316.23 Typical High $338.84 | Professional | None | $251.19 | $316.23 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $588.84 Typical High $851.14 | Facility | None | $363.08 | $588.84 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | None | $316.23 | $316.23 | $316.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $239.88 Median $354.81 Typical High $575.44 | Professional | None | $239.88 | $354.81 | $575.44 |
United Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $407.38 | Professional | None | $309.03 | $309.03 | $407.38 |
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 $158.49 Median $158.49 Typical High $186.21 | Professional | 52 · Reduced service | $158.49 | $158.49 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $64.57 Typical High $74.13 | Professional | 53 · Discontinued | $64.57 | $64.57 | $74.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $47.86 Typical High $54.95 | Professional | 55 · Aftercare only | $47.86 | $47.86 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $31.62 Typical High $37.15 | Professional | 56 · Pre-op care only | $31.62 | $31.62 | $37.15 |
Where Georgia sits
The same service costs 1.6 times more in Arizona than in Rhode Island. 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· 40th of 51
$316
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.