How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $22.91 Median $38.90 Typical High $44.67 | Facility | None | $22.91 | $38.90 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $41.69 Typical High $102.33 | Professional | None | $22.91 | $41.69 | $102.33 |
Ambetter Setting Professional Modifier None Typical Low $31.62 Median $63.10 Typical High $81.28 | Professional | None | $31.62 | $63.10 | $81.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $24.55 Median $39.81 Typical High $67.61 | Professional | None | $24.55 | $39.81 | $67.61 |
CareSource Setting Professional Modifier None Typical Low $38.90 Median $41.69 Typical High $45.71 | Professional | None | $38.90 | $41.69 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $47.86 | Facility | None | $21.38 | $21.38 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $15.85 Median $38.02 Typical High $85.11 | Professional | None | $15.85 | $38.02 | $85.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $23.44 Median $41.69 Typical High $169.82 | Professional | None | $23.44 | $41.69 | $169.82 |
United Setting Professional Modifier None Typical Low $22.91 Median $37.15 Typical High $67.61 | Professional | None | $22.91 | $37.15 | $67.61 |
3 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 55 · Aftercare only Typical Low $3.47 Median $5.89 Typical High $6.61 | Professional | 55 · Aftercare only | $3.47 | $5.89 | $6.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.29 Median $3.89 Typical High $4.37 | Professional | 56 · Pre-op care only | $2.29 | $3.89 | $4.37 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 59 · Distinct service | $81.28 | $81.28 | $81.28 |
Where Georgia sits
The same service costs 2.5 times more in Alaska 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· 27th of 51
$39.81
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.