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 $81.28 Median $81.28 Typical High $93.33 | Facility | None | $81.28 | $81.28 | $93.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $95.50 | Professional | None (both parts) | $81.28 | $81.28 | $95.50 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $60.26 Median $95.50 Typical High $162.18 | Professional | None (both parts) | $60.26 | $95.50 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $154.88 Typical High $257.04 | Professional | None (both parts) | $100.00 | $154.88 | $257.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $74.13 Median $93.33 Typical High $141.25 | Professional | None | $74.13 | $93.33 | $141.25 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $72.44 Median $128.82 Typical High $162.18 | Professional | None (both parts) | $72.44 | $128.82 | $162.18 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $131.83 Typical High $245.47 | Professional | None (both parts) | $91.20 | $131.83 | $245.47 |
7 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 $40.74 Median $40.74 Typical High $47.86 | Professional | 52 · Reduced service | $40.74 | $40.74 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $16.22 Typical High $19.05 | Professional | 53 · Discontinued | $16.22 | $16.22 | $19.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $12.30 Typical High $14.45 | Professional | 55 · Aftercare only | $12.30 | $12.30 | $14.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.13 Median $8.13 Typical High $9.55 | Professional | 56 · Pre-op care only | $8.13 | $8.13 | $9.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $85.11 Typical High $104.71 | Professional | TC · Technical part | $77.62 | $85.11 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $100.00 Typical High $151.36 | Professional | TC · Technical part | $91.20 | $100.00 | $151.36 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $141.25 Typical High $141.25 | Professional | TC · Technical part | $91.20 | $141.25 | $141.25 |
Where Georgia sits
The same service costs 2.9 times more in Alaska than in Florida. 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· 32nd of 51
$95.50
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.