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 $14.79 Median $17.78 Typical High $23.99 | Facility | None | $14.79 | $17.78 | $23.99 |
Aetna Setting Professional Modifier None Typical Low $14.79 Median $17.78 Typical High $23.99 | Professional | None | $14.79 | $17.78 | $23.99 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.98 Median $29.51 Typical High $56.23 | Facility | None | $16.98 | $29.51 | $56.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.72 Median $26.30 Typical High $52.48 | Professional | None | $10.72 | $26.30 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $18.62 Median $41.69 Typical High $50.12 | Facility | None | $18.62 | $41.69 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $10.96 Median $15.14 Typical High $85.11 | Professional | None | $10.96 | $15.14 | $85.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $16.60 Median $26.30 Typical High $60.26 | Professional | None | $16.60 | $26.30 | $60.26 |
Oscar Health Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None | $32.36 | $32.36 | $32.36 |
United Setting Professional Modifier None Typical Low $15.85 Median $28.18 Typical High $70.79 | Professional | None | $15.85 | $28.18 | $70.79 |
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 $7.41 Median $8.91 Typical High $12.02 | Professional | 52 · Reduced service | $7.41 | $8.91 | $12.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $3.55 Typical High $4.79 | Professional | 53 · Discontinued | $2.95 | $3.55 | $4.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.24 Median $2.63 Typical High $3.63 | Professional | 55 · Aftercare only | $2.24 | $2.63 | $3.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.48 Median $1.78 Typical High $2.40 | Professional | 56 · Pre-op care only | $1.48 | $1.78 | $2.40 |
Where Georgia sits
The same service costs 4.5 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· 27th of 51
$26.30
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.