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 $19.05 Median $33.11 Typical High $33.88 | Facility | None | $19.05 | $33.11 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $30.20 Typical High $35.48 | Professional | None | $19.05 | $30.20 | $35.48 |
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 $21.38 Median $29.51 Typical High $74.13 | Professional | None | $21.38 | $29.51 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $18.62 Median $23.99 Typical High $87.10 | Facility | None | $18.62 | $23.99 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $42.66 Typical High $81.28 | Professional | None | $21.38 | $42.66 | $81.28 |
Kaiser Permanente Setting Professional Modifier None Typical Low $17.78 Median $36.31 Typical High $95.50 | Professional | None | $17.78 | $36.31 | $95.50 |
Oscar Health Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
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 $19.50 Median $42.66 Typical High $79.43 | Professional | None | $19.50 | $42.66 | $79.43 |
5 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 $9.55 Median $14.45 Typical High $17.78 | Professional | 52 · Reduced service | $9.55 | $14.45 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $5.75 Typical High $7.08 | Professional | 53 · Discontinued | $3.80 | $5.75 | $7.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.82 Median $4.37 Typical High $5.37 | Professional | 55 · Aftercare only | $2.82 | $4.37 | $5.37 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.91 Median $2.88 Typical High $3.55 | Professional | 56 · Pre-op care only | $1.91 | $2.88 | $3.55 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | GP · Physical therapy plan | $33.11 | $33.11 | $33.11 |
Where Georgia sits
The same service costs 3.5 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· 39th of 51
$33.11
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.