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 $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $363.08 | Professional | None | $269.15 | $269.15 | $363.08 |
Ambetter Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $346.74 | Professional | None | $269.15 | $269.15 | $346.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $269.15 Median $426.58 Typical High $977.24 | Facility | None | $269.15 | $426.58 | $977.24 |
Anthem BCBS Setting Professional Modifier None Typical Low $194.98 Median $245.47 Typical High $281.84 | Professional | None | $194.98 | $245.47 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $302.00 Typical High $489.78 | Facility | None | $269.15 | $302.00 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None | $269.15 | $269.15 | $269.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $295.12 | Professional | None | $263.03 | $263.03 | $295.12 |
United Setting Professional Modifier None Typical Low $239.88 Median $288.40 Typical High $562.34 | Professional | None | $239.88 | $288.40 | $562.34 |
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 $134.90 Median $134.90 Typical High $144.54 | Professional | 52 · Reduced service | $134.90 | $134.90 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $53.70 Typical High $57.54 | Professional | 53 · Discontinued | $53.70 | $53.70 | $57.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $40.74 Typical High $43.65 | Professional | 55 · Aftercare only | $40.74 | $40.74 | $43.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $26.92 Typical High $28.84 | Professional | 56 · Pre-op care only | $26.92 | $26.92 | $28.84 |
Where Georgia sits
The same service costs 2.3 times more in Arizona than in Alabama. 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· 46th of 51
$257
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.