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 $44.67 Median $63.10 Typical High $64.57 | Facility | None | $44.67 | $63.10 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $58.88 Typical High $67.61 | Professional | None | $44.67 | $58.88 | $67.61 |
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 $38.02 Median $61.66 Typical High $107.15 | Professional | None | $38.02 | $61.66 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $50.12 Typical High $138.04 | Facility | None | $38.90 | $50.12 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $83.18 Typical High $147.91 | Professional | None | $50.12 | $83.18 | $147.91 |
Kaiser Permanente Setting Professional Modifier None Typical Low $45.71 Median $79.43 Typical High $109.65 | Professional | None | $45.71 | $79.43 | $109.65 |
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 $44.67 Median $81.28 Typical High $154.88 | Professional | None | $44.67 | $81.28 | $154.88 |
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 $22.39 Median $29.51 Typical High $33.88 | Professional | 52 · Reduced service | $22.39 | $29.51 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $11.75 Typical High $13.49 | Professional | 53 · Discontinued | $8.91 | $11.75 | $13.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.76 Median $9.12 Typical High $10.23 | Professional | 55 · Aftercare only | $6.76 | $9.12 | $10.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.47 Median $6.03 Typical High $6.76 | Professional | 56 · Pre-op care only | $4.47 | $6.03 | $6.76 |
Where Georgia sits
The same service costs 3.5 times more in Alaska than in Florida. 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· 29th of 51
$69.18
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.