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 $28.84 Median $95.50 Typical High $102.33 | Facility | None | $28.84 | $95.50 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $69.18 Typical High $97.72 | Professional | None | $28.84 | $69.18 | $97.72 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.45 Median $34.67 Typical High $48.98 | Professional | 52 · Reduced service | $14.45 | $34.67 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $13.80 Typical High $19.50 | Professional | 53 · Discontinued | $5.89 | $13.80 | $19.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.37 Median $10.47 Typical High $14.79 | Professional | 55 · Aftercare only | $4.37 | $10.47 | $14.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.95 Median $6.92 Typical High $9.77 | Professional | 56 · Pre-op care only | $2.95 | $6.92 | $9.77 |
Anthem BCBS Setting Professional Modifier None Typical Low $32.36 Median $66.07 Typical High $114.82 | Professional | None | $32.36 | $66.07 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $72.44 Typical High $125.89 | Professional | None | $40.74 | $72.44 | $125.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $33.88 Median $109.65 Typical High $162.18 | Professional | None | $33.88 | $109.65 | $162.18 |
Oscar Health Setting Professional Modifier None Typical Low $41.69 Median $128.82 Typical High $151.36 | Professional | None | $41.69 | $128.82 | $151.36 |
United Setting Professional Modifier None Typical Low $27.54 Median $47.86 Typical High $112.20 | Professional | None | $27.54 | $47.86 | $112.20 |
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 3.5 times more in Hawaii than in Maryland. 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· 33rd of 51
$57.54
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.