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 $67.61 Median $81.28 Typical High $83.18 | Facility | None | $67.61 | $81.28 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $81.28 Typical High $177.83 | Professional | None | $67.61 | $81.28 | $177.83 |
Ambetter Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None | $85.11 | $85.11 | $85.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $67.61 Median $85.11 Typical High $141.25 | Professional | None | $67.61 | $85.11 | $141.25 |
CareSource Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None | $64.57 | $64.57 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $91.20 Typical High $190.55 | Professional | None | $72.44 | $91.20 | $190.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $63.10 Median $91.20 Typical High $173.78 | Professional | None | $63.10 | $91.20 | $173.78 |
Oscar Health Setting Professional Modifier None Typical Low $104.71 Median $128.82 Typical High $177.83 | Professional | None | $104.71 | $128.82 | $177.83 |
United Setting Professional Modifier None Typical Low $72.44 Median $100.00 Typical High $165.96 | Professional | None | $72.44 | $100.00 | $165.96 |
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 52 · Reduced service Typical Low $33.88 Median $38.02 Typical High $43.65 | Professional | 52 · Reduced service | $33.88 | $38.02 | $43.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $11.48 Typical High $13.18 | Professional | 55 · Aftercare only | $10.00 | $11.48 | $13.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $7.59 Typical High $8.71 | Professional | 56 · Pre-op care only | $6.76 | $7.59 | $8.71 |
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· 25th of 51
$87.10
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.