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 $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $52.48 | Professional | None | $41.69 | $41.69 | $52.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $41.69 Median $95.50 Typical High $229.09 | Facility | None | $41.69 | $95.50 | $229.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $30.20 Median $41.69 Typical High $44.67 | Professional | None | $30.20 | $41.69 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $77.62 Typical High $112.20 | Facility | None | $47.86 | $77.62 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None | $41.69 | $41.69 | $41.69 |
Kaiser Permanente Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $47.86 | Professional | None | $27.54 | $27.54 | $47.86 |
United Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $60.26 | Professional | None | $44.67 | $44.67 | $60.26 |
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 $20.89 Median $20.89 Typical High $26.30 | Professional | 52 · Reduced service | $20.89 | $20.89 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $8.32 Typical High $10.47 | Professional | 53 · Discontinued | $8.32 | $8.32 | $10.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.31 Median $6.31 Typical High $7.94 | Professional | 55 · Aftercare only | $6.31 | $6.31 | $7.94 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.17 Median $4.17 Typical High $5.25 | Professional | 56 · Pre-op care only | $4.17 | $4.17 | $5.25 |
Where Georgia sits
The same service costs 1.8 times more in Arizona than in Georgia. 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· 51st of 51
$41.69
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.