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 $28.84 Median $42.66 Typical High $43.65 | Facility | None | $28.84 | $42.66 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $39.81 Typical High $45.71 | Professional | None | $28.84 | $39.81 | $45.71 |
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 $25.70 Median $41.69 Typical High $72.44 | Professional | None | $25.70 | $41.69 | $72.44 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $51.29 Median $66.07 Typical High $117.49 | Professional | 50 · Both sides | $51.29 | $66.07 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $23.99 Median $30.90 Typical High $87.10 | Facility | None | $23.99 | $30.90 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $57.54 Typical High $97.72 | Professional | None | $32.36 | $57.54 | $97.72 |
Kaiser Permanente Setting Professional Modifier None Typical Low $30.20 Median $48.98 Typical High $75.86 | Professional | None | $30.20 | $48.98 | $75.86 |
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 $30.20 Median $54.95 Typical High $100.00 | Professional | None | $30.20 | $54.95 | $100.00 |
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 $14.45 Median $19.95 Typical High $22.91 | Professional | 52 · Reduced service | $14.45 | $19.95 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $7.94 Typical High $9.33 | Professional | 53 · Discontinued | $5.75 | $7.94 | $9.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.27 Median $5.89 Typical High $6.92 | Professional | 55 · Aftercare only | $4.27 | $5.89 | $6.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.88 Median $3.98 Typical High $4.57 | Professional | 56 · Pre-op care only | $2.88 | $3.98 | $4.57 |
Where Georgia sits
The same service costs 3.3 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· 28th of 51
$48.98
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.