How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $39.81 Median $93.33 Typical High $102.33 | Facility | None | $39.81 | $93.33 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $79.43 Typical High $102.33 | Professional | None | $39.81 | $79.43 | $102.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.95 Median $33.88 Typical High $48.98 | Professional | 52 · Reduced service | $19.95 | $33.88 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $13.49 Typical High $19.50 | Professional | 53 · Discontinued | $8.13 | $13.49 | $19.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.03 Median $10.23 Typical High $14.79 | Professional | 55 · Aftercare only | $6.03 | $10.23 | $14.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $6.76 Typical High $9.77 | Professional | 56 · Pre-op care only | $4.07 | $6.76 | $9.77 |
Anthem BCBS Setting Professional Modifier None Typical Low $44.67 Median $75.86 Typical High $117.49 | Professional | None | $44.67 | $75.86 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $85.11 Typical High $128.82 | Professional | None | $50.12 | $85.11 | $128.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $45.71 Median $107.15 Typical High $158.49 | Professional | None | $45.71 | $107.15 | $158.49 |
Oscar Health Setting Professional Modifier None Typical Low $57.54 Median $125.89 Typical High $147.91 | Professional | None | $57.54 | $125.89 | $147.91 |
United Setting Professional Modifier None Typical Low $30.20 Median $61.66 Typical High $114.82 | Professional | None | $30.20 | $61.66 | $114.82 |
1 more rate 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 |
|---|---|---|---|---|---|
United Setting Professional Modifier XC Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | XC | $501.19 | $501.19 | $501.19 |
Where Georgia sits
The same service costs 2.5 times more in Alaska than in Washington, DC. 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· 31st of 51
$70.79
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.