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 $19.50 Median $75.86 Typical High $81.28 | Facility | None | $19.50 | $75.86 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $54.95 Typical High $79.43 | Professional | None | $19.50 | $54.95 | $79.43 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.77 Median $27.54 Typical High $39.81 | Professional | 52 · Reduced service | $9.77 | $27.54 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $11.22 Typical High $15.85 | Professional | 53 · Discontinued | $3.89 | $11.22 | $15.85 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.88 Median $8.32 Typical High $11.75 | Professional | 55 · Aftercare only | $2.88 | $8.32 | $11.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.95 Median $5.62 Typical High $7.94 | Professional | 56 · Pre-op care only | $1.95 | $5.62 | $7.94 |
Anthem BCBS Setting Professional Modifier None Typical Low $21.38 Median $45.71 Typical High $91.20 | Professional | None | $21.38 | $45.71 | $91.20 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $56.23 Typical High $89.13 | Professional | None | $25.12 | $56.23 | $89.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $22.91 Median $89.13 Typical High $112.20 | Professional | None | $22.91 | $89.13 | $112.20 |
Oscar Health Setting Professional Modifier None Typical Low $28.18 Median $104.71 Typical High $123.03 | Professional | None | $28.18 | $104.71 | $123.03 |
United Setting Professional Modifier None Typical Low $19.05 Median $38.02 Typical High $87.10 | Professional | None | $19.05 | $38.02 | $87.10 |
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 4.4 times more in Hawaii 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· 34th of 51
$45.71
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.