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 $0.32 Median $0.32 Typical High $0.33 | Facility | None | $0.32 | $0.32 | $0.33 |
Aetna Setting Professional Modifier None Typical Low $0.32 Median $0.32 Typical High $0.38 | Professional | None | $0.32 | $0.32 | $0.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.16 Median $0.16 Typical High $0.18 | Professional | 52 · Reduced service | $0.16 | $0.16 | $0.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.06 Median $0.06 Typical High $0.07 | Professional | 53 · Discontinued | $0.06 | $0.06 | $0.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.05 Median $0.05 Typical High $0.06 | Professional | 55 · Aftercare only | $0.05 | $0.05 | $0.06 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.03 Median $0.03 Typical High $0.04 | Professional | 56 · Pre-op care only | $0.03 | $0.03 | $0.04 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.33 Median $1.10 Typical High $1.10 | Professional | None | $0.33 | $1.10 | $1.10 |
CareSource Setting Professional Modifier None Typical Low $0.28 Median $0.28 Typical High $0.28 | Professional | None | $0.28 | $0.28 | $0.28 |
Cigna Setting Professional Modifier None Typical Low $0.41 Median $0.71 Typical High $1.35 | Professional | None | $0.41 | $0.71 | $1.35 |
Kaiser Permanente Setting Professional Modifier None Typical Low $0.38 Median $0.72 Typical High $7.94 | Professional | None | $0.38 | $0.72 | $7.94 |
United Setting Professional Modifier None Typical Low $9.77 Median $47.86 Typical High $70.79 | Professional | None | $9.77 | $47.86 | $70.79 |
Where Georgia sits
The same service costs 645.7 times more in Oklahoma 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· 11th of 51
$0.71
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.