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 $41.69 Median $41.69 Typical High $48.98 | Facility | None | $41.69 | $41.69 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $41.69 Typical High $48.98 | Professional | None | $36.31 | $41.69 | $48.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $23.99 Median $83.18 Typical High $89.13 | Facility | None | $23.99 | $83.18 | $89.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $40.74 Median $107.15 Typical High $112.20 | Professional | None | $40.74 | $107.15 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $104.71 Typical High $169.82 | Facility | None | $93.33 | $104.71 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None | $93.33 | $93.33 | $93.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $23.99 Median $125.89 Typical High $151.36 | Professional | None | $23.99 | $125.89 | $151.36 |
Oscar Health Setting Professional Modifier None Typical Low $44.67 Median $89.13 Typical High $107.15 | Professional | None | $44.67 | $89.13 | $107.15 |
United Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $58.88 | Professional | None | $42.66 | $42.66 | $58.88 |
2 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 $5.37 Median $6.31 Typical High $7.24 | Professional | 55 · Aftercare only | $5.37 | $6.31 | $7.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.63 Median $4.17 Typical High $4.90 | Professional | 56 · Pre-op care only | $3.63 | $4.17 | $4.90 |
Where Georgia sits
The same service costs 2.6 times more in Texas than in Connecticut. 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· 13th of 51
$58.88
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.