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 $35.48 Typical High $37.15 | Facility | None | $19.05 | $35.48 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $36.31 Typical High $52.48 | Professional | None | $19.05 | $36.31 | $52.48 |
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 $22.91 Median $32.36 Typical High $67.61 | Professional | None | $22.91 | $32.36 | $67.61 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $34.67 Median $48.98 Typical High $100.00 | Professional | 50 · Both sides | $34.67 | $48.98 | $100.00 |
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 $21.88 Median $41.69 Typical High $77.62 | Professional | None | $21.88 | $41.69 | $77.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $17.78 Median $38.90 Typical High $97.72 | Professional | None | $17.78 | $38.90 | $97.72 |
Oscar Health Setting Professional Modifier None Typical Low $27.54 Median $52.48 Typical High $58.88 | Professional | None | $27.54 | $52.48 | $58.88 |
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 $19.95 Median $43.65 Typical High $85.11 | Professional | None | $19.95 | $43.65 | $85.11 |
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 $15.49 Typical High $19.50 | Professional | 52 · Reduced service | $9.55 | $15.49 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $6.17 Typical High $7.76 | Professional | 53 · Discontinued | $3.80 | $6.17 | $7.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.82 Median $4.68 Typical High $5.75 | Professional | 55 · Aftercare only | $2.82 | $4.68 | $5.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.91 Median $3.09 Typical High $3.89 | Professional | 56 · Pre-op care only | $1.91 | $3.09 | $3.89 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | GP · Physical therapy plan | $54.95 | $54.95 | $54.95 |
Where Georgia sits
The same service costs 3.8 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
$35.48
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.