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 $29.51 Median $29.51 Typical High $29.51 | Facility | None | $29.51 | $29.51 | $29.51 |
Aetna Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $41.69 | Professional | None | $29.51 | $29.51 | $41.69 |
Ambetter Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $29.51 Median $47.86 Typical High $109.65 | Facility | None | $29.51 | $47.86 | $109.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $21.38 Median $26.92 Typical High $29.51 | Professional | None | $21.38 | $26.92 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $29.51 Median $33.11 Typical High $52.48 | Facility | None | $29.51 | $33.11 | $52.48 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | None | $29.51 | $29.51 | $29.51 |
Kaiser Permanente Setting Professional Modifier None Typical Low $19.95 Median $27.54 Typical High $32.36 | Professional | None | $19.95 | $27.54 | $32.36 |
United Setting Professional Modifier None Typical Low $26.30 Median $30.90 Typical High $60.26 | Professional | None | $26.30 | $30.90 | $60.26 |
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 $14.79 Median $14.79 Typical High $15.49 | Professional | 52 · Reduced service | $14.79 | $14.79 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $5.89 Typical High $6.31 | Professional | 53 · Discontinued | $5.89 | $5.89 | $6.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.47 Median $4.47 Typical High $4.68 | Professional | 55 · Aftercare only | $4.47 | $4.47 | $4.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.95 Median $2.95 Typical High $3.16 | Professional | 56 · Pre-op care only | $2.95 | $2.95 | $3.16 |
Where Georgia sits
Rates are fairly even across states for this service. 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· 50th of 51
$26.92
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.