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 $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $74.13 | Professional | None | $54.95 | $54.95 | $74.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $54.95 Median $123.03 Typical High $302.00 | Facility | None | $54.95 | $123.03 | $302.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $43.65 Median $54.95 Typical High $57.54 | Professional | None | $43.65 | $54.95 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $100.00 Typical High $147.91 | Facility | None | $61.66 | $100.00 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $63.10 | Professional | None | $39.81 | $39.81 | $63.10 |
United Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $91.20 | Professional | None | $54.95 | $54.95 | $91.20 |
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 $27.54 Median $27.54 Typical High $37.15 | Professional | 52 · Reduced service | $27.54 | $27.54 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $10.96 Typical High $14.79 | Professional | 53 · Discontinued | $10.96 | $10.96 | $14.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $8.32 Typical High $11.22 | Professional | 55 · Aftercare only | $8.32 | $8.32 | $11.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.50 Median $5.50 Typical High $7.41 | Professional | 56 · Pre-op care only | $5.50 | $5.50 | $7.41 |
Where Georgia sits
The same service costs 2.7 times more in Oklahoma than in West Virginia. 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· 37th of 51
$54.95
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.