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 $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $446.68 | Professional | None | $389.05 | $389.05 | $446.68 |
Anthem BCBS Setting Facility Modifier None Typical Low $380.19 Median $1,318.26 Typical High $1,412.54 | Facility | None | $380.19 | $1,318.26 | $1,412.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $316.23 Median $389.05 Typical High $398.11 | Professional | None | $316.23 | $389.05 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $724.44 Typical High $1,047.13 | Facility | None | $446.68 | $724.44 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | None | $389.05 | $389.05 | $389.05 |
Kaiser Permanente Setting Professional Modifier None Typical Low $426.58 Median $1,905.46 Typical High $3,162.28 | Professional | None | $426.58 | $1,905.46 | $3,162.28 |
United Setting Professional Modifier None Typical Low $380.19 Median $407.38 Typical High $489.78 | Professional | None | $380.19 | $407.38 | $489.78 |
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 $194.98 Median $194.98 Typical High $223.87 | Professional | 52 · Reduced service | $194.98 | $194.98 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $79.43 Typical High $89.13 | Professional | 53 · Discontinued | $79.43 | $79.43 | $89.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $58.88 Typical High $66.07 | Professional | 55 · Aftercare only | $58.88 | $58.88 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $38.90 Typical High $44.67 | Professional | 56 · Pre-op care only | $38.90 | $38.90 | $44.67 |
Where Georgia sits
The same service costs 1.9 times more in Texas than in Illinois. 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· 33rd of 51
$389
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.