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 $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $81.28 | Professional | None | $77.62 | $77.62 | $81.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $77.62 Median $173.78 Typical High $426.58 | Facility | None | $77.62 | $173.78 | $426.58 |
Anthem BCBS Setting Professional Modifier None Typical Low $51.29 Median $77.62 Typical High $93.33 | Professional | None | $51.29 | $77.62 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $144.54 Typical High $208.93 | Facility | None | $87.10 | $144.54 | $208.93 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None | $77.62 | $77.62 | $77.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $50.12 Median $64.57 Typical High $407.38 | Professional | None | $50.12 | $64.57 | $407.38 |
United Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $173.78 | Professional | None | $46.77 | $46.77 | $173.78 |
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 $38.90 Median $38.90 Typical High $40.74 | Professional | 52 · Reduced service | $38.90 | $38.90 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.49 Typical High $16.22 | Professional | 53 · Discontinued | $15.49 | $15.49 | $16.22 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $11.75 Typical High $12.30 | Professional | 55 · Aftercare only | $11.75 | $11.75 | $12.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.76 Median $7.76 Typical High $8.13 | Professional | 56 · Pre-op care only | $7.76 | $7.76 | $8.13 |
Where Georgia sits
The same service costs 3.6 times more in Texas than in Kansas. 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· 18th of 51
$77.62
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.