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 $38.90 Median $64.57 Typical High $93.33 | Facility | None | $38.90 | $64.57 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $64.57 Typical High $77.62 | Professional | None | $38.90 | $64.57 | $77.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $380.19 Median $776.25 Typical High $3,630.78 | Facility | None | $380.19 | $776.25 | $3,630.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $48.98 Median $75.86 Typical High $128.82 | Professional | None | $48.98 | $75.86 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $346.74 Typical High $4,265.80 | Facility | None | $50.12 | $346.74 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $87.10 Typical High $177.83 | Professional | None | $39.81 | $87.10 | $177.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $47.86 Median $102.33 Typical High $120.23 | Professional | None | $47.86 | $102.33 | $120.23 |
United Setting Facility Modifier None Typical Low $79.43 Median $158.49 Typical High $1,778.28 | Facility | None | $79.43 | $158.49 | $1,778.28 |
United Setting Professional Modifier None Typical Low $48.98 Median $89.13 Typical High $199.53 | Professional | None | $48.98 | $89.13 | $199.53 |
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 $19.05 Median $31.62 Typical High $38.90 | Professional | 52 · Reduced service | $19.05 | $31.62 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $12.88 Typical High $15.49 | Professional | 53 · Discontinued | $7.76 | $12.88 | $15.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.75 Median $9.55 Typical High $11.48 | Professional | 55 · Aftercare only | $5.75 | $9.55 | $11.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.89 Median $6.31 Typical High $7.76 | Professional | 56 · Pre-op care only | $3.89 | $6.31 | $7.76 |
Where Georgia sits
The same service costs 3.3 times more in Alaska than in New Jersey. 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· 19th of 51
$83.18
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.