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 $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $707.95 | Professional | None | $524.81 | $524.81 | $707.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $524.81 Median $1,819.70 Typical High $1,949.84 | Facility | None | $524.81 | $1,819.70 | $1,949.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $416.87 Median $588.84 Typical High $588.84 | Professional | None | $416.87 | $588.84 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $588.84 Typical High $954.99 | Facility | None | $524.81 | $588.84 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | None | $524.81 | $524.81 | $524.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $467.74 Median $588.84 Typical High $2,630.27 | Professional | None | $467.74 | $588.84 | $2,630.27 |
United Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $691.83 | Professional | None | $524.81 | $524.81 | $691.83 |
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 $263.03 Median $263.03 Typical High $309.03 | Professional | 52 · Reduced service | $263.03 | $263.03 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $107.15 Typical High $123.03 | Professional | 53 · Discontinued | $107.15 | $107.15 | $123.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $79.43 Typical High $93.33 | Professional | 55 · Aftercare only | $79.43 | $79.43 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $52.48 Typical High $61.66 | Professional | 56 · Pre-op care only | $52.48 | $52.48 | $61.66 |
Where Georgia sits
The same service costs 1.9 times more in Alaska than in Virginia. 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· 11th of 51
$589
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.