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 $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $97.72 | Professional | None | $83.18 | $83.18 | $97.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $81.28 Median $281.84 Typical High $295.12 | Facility | None | $81.28 | $281.84 | $295.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $67.61 Median $83.18 Typical High $91.20 | Professional | None | $67.61 | $83.18 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $154.88 Typical High $223.87 | Facility | None | $95.50 | $154.88 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None | $83.18 | $83.18 | $83.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $89.13 Median $107.15 Typical High $354.81 | Professional | None | $89.13 | $107.15 | $354.81 |
United Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $104.71 | Professional | None | $81.28 | $81.28 | $104.71 |
4 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 $41.69 Median $41.69 Typical High $48.98 | Professional | 52 · Reduced service | $41.69 | $41.69 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $16.98 Typical High $19.50 | Professional | 53 · Discontinued | $16.98 | $16.98 | $19.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $12.59 Typical High $14.45 | Professional | 55 · Aftercare only | $12.59 | $12.59 | $14.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $8.32 Typical High $9.77 | Professional | 56 · Pre-op care only | $8.32 | $8.32 | $9.77 |
Where Georgia sits
The same service costs 1.5 times more in Arizona than in Nebraska. 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· 26th of 51
$83.18
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.