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 $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $40.74 | Professional | None | $32.36 | $32.36 | $40.74 |
Ambetter Setting Professional Modifier None Typical Low $26.92 Median $30.20 Typical High $72.44 | Professional | None | $26.92 | $30.20 | $72.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $30.90 Median $36.31 Typical High $158.49 | Facility | None | $30.90 | $36.31 | $158.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $22.39 Median $32.36 Typical High $32.36 | Professional | None | $22.39 | $32.36 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $39.81 Typical High $63.10 | Facility | None | $35.48 | $39.81 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2.19 Median $25.70 Typical High $33.11 | Professional | None | $2.19 | $25.70 | $33.11 |
United Setting Professional Modifier None Typical Low $30.90 Median $38.02 Typical High $72.44 | Professional | None | $30.90 | $38.02 | $72.44 |
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 $16.22 Median $16.22 Typical High $16.22 | Professional | 52 · Reduced service | $16.22 | $16.22 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.46 Typical High $6.46 | Professional | 53 · Discontinued | $6.46 | $6.46 | $6.46 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.79 Median $4.79 Typical High $4.79 | Professional | 55 · Aftercare only | $4.79 | $4.79 | $4.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.24 Median $3.24 Typical High $3.24 | Professional | 56 · Pre-op care only | $3.24 | $3.24 | $3.24 |
Where Georgia sits
The same service costs 97.7 times more in Arizona than in Rhode Island. 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· 43rd of 51
$32.36
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.