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 $13.18 Median $13.18 Typical High $13.18 | Facility | None | $13.18 | $13.18 | $13.18 |
Aetna Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $15.14 | Professional | None | $13.18 | $13.18 | $15.14 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.18 Median $45.71 Typical High $48.98 | Facility | None | $13.18 | $45.71 | $48.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.55 Median $13.18 Typical High $13.18 | Professional | None | $9.55 | $13.18 | $13.18 |
Cigna Setting Facility Modifier None Typical Low $15.14 Median $24.55 Typical High $35.48 | Facility | None | $15.14 | $24.55 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | None | $13.18 | $13.18 | $13.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $12.02 Median $14.13 Typical High $14.45 | Professional | None | $12.02 | $14.13 | $14.45 |
United Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $20.42 | Professional | None | $13.18 | $13.18 | $20.42 |
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 $6.61 Median $6.61 Typical High $6.92 | Professional | 52 · Reduced service | $6.61 | $6.61 | $6.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $2.63 Typical High $2.82 | Professional | 53 · Discontinued | $2.63 | $2.63 | $2.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.00 Median $2.00 Typical High $2.09 | Professional | 55 · Aftercare only | $2.00 | $2.00 | $2.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.32 Median $1.32 Typical High $1.41 | Professional | 56 · Pre-op care only | $1.32 | $1.32 | $1.41 |
Where Georgia sits
The same service costs 1.5 times more in Alaska than in Delaware. 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· 36th of 51
$13.18
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.