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 $141.25 Median $141.25 Typical High $147.91 | Facility | None | $141.25 | $141.25 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $158.49 | Professional | None | $141.25 | $141.25 | $158.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $70.79 Typical High $79.43 | Professional | 52 · Reduced service | $70.79 | $70.79 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $31.62 | Professional | 53 · Discontinued | $28.18 | $28.18 | $31.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $21.38 Typical High $23.44 | Professional | 55 · Aftercare only | $21.38 | $21.38 | $23.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $14.13 Typical High $15.85 | Professional | 56 · Pre-op care only | $14.13 | $14.13 | $15.85 |
Anthem BCBS Setting Professional Modifier None Typical Low $141.25 Median $147.91 Typical High $204.17 | Professional | None | $141.25 | $147.91 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None | $151.36 | $151.36 | $151.36 |
Kaiser Permanente Setting Professional Modifier None Typical Low $158.49 Median $165.96 Typical High $213.80 | Professional | None | $158.49 | $165.96 | $213.80 |
United Setting Professional Modifier None Typical Low $177.83 Median $234.42 Typical High $363.08 | Professional | None | $177.83 | $234.42 | $363.08 |
Where Georgia sits
The same service costs 2.6 times more in Alaska than in Arizona. 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· 42nd of 51
$148
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.