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 $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $45.71 | Professional | None | $39.81 | $39.81 | $45.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $39.81 Median $138.04 Typical High $144.54 | Facility | None | $39.81 | $138.04 | $144.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $32.36 Median $41.69 Typical High $43.65 | Professional | None | $32.36 | $41.69 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $43.65 Typical High $69.18 | Facility | None | $38.90 | $43.65 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None | $38.90 | $38.90 | $38.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $39.81 Median $120.23 Typical High $199.53 | Professional | None | $39.81 | $120.23 | $199.53 |
United Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $51.29 | Professional | None | $39.81 | $39.81 | $51.29 |
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 $19.95 Median $19.95 Typical High $22.91 | Professional | 52 · Reduced service | $19.95 | $19.95 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $7.94 Typical High $9.12 | Professional | 53 · Discontinued | $7.94 | $7.94 | $9.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.03 Median $6.03 Typical High $6.92 | Professional | 55 · Aftercare only | $6.03 | $6.03 | $6.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.98 Median $3.98 Typical High $4.57 | Professional | 56 · Pre-op care only | $3.98 | $3.98 | $4.57 |
Where Georgia sits
The same service costs 1.6 times more in Arizona than in Wyoming. 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· 29th of 51
$39.81
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.