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 $2,884.03 Median $2,884.03 Typical High $2,884.03 | Facility | None | $2,884.03 | $2,884.03 | $2,884.03 |
Aetna Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $3,019.95 | Professional | None | $2,884.03 | $2,884.03 | $3,019.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,818.38 Median $9,772.37 Typical High $10,232.93 | Facility | None | $2,818.38 | $9,772.37 | $10,232.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,344.23 Median $2,884.03 Typical High $2,951.21 | Professional | None | $2,344.23 | $2,884.03 | $2,951.21 |
CareSource Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Professional | None | $2,691.53 | $2,691.53 | $2,691.53 |
Cigna Setting Facility Modifier None Typical Low $3,235.94 Median $5,248.07 Typical High $7,762.47 | Facility | None | $3,235.94 | $5,248.07 | $7,762.47 |
Cigna Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $3,235.94 | Professional | None | $2,884.03 | $2,884.03 | $3,235.94 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,187.76 Median $3,090.30 Typical High $7,762.47 | Professional | None | $2,187.76 | $3,090.30 | $7,762.47 |
Oscar Health Setting Professional Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $3,162.28 | Professional | None | $2,818.38 | $2,818.38 | $3,162.28 |
United Setting Professional Modifier None Typical Low $2,818.38 Median $3,019.95 Typical High $3,981.07 | Professional | None | $2,818.38 | $3,019.95 | $3,981.07 |
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 $1,445.44 Median $1,445.44 Typical High $1,513.56 | Professional | 52 · Reduced service | $1,445.44 | $1,445.44 | $1,513.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $575.44 Median $575.44 Typical High $602.56 | Professional | 53 · Discontinued | $575.44 | $575.44 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $426.58 Median $426.58 Typical High $457.09 | Professional | 55 · Aftercare only | $426.58 | $426.58 | $457.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $288.40 Median $288.40 Typical High $302.00 | Professional | 56 · Pre-op care only | $288.40 | $288.40 | $302.00 |
Where Georgia sits
Rates are fairly even across states for this service. 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· 27th of 51
$2,884
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.