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 $6.76 Median $6.76 Typical High $37.15 | Facility | None | $6.76 | $6.76 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $13.18 | Professional | None | $6.76 | $6.76 | $13.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.76 Median $15.14 Typical High $37.15 | Facility | None | $6.76 | $15.14 | $37.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $38.90 | Professional | None | $6.76 | $6.76 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $7.59 Median $12.30 Typical High $18.20 | Facility | None | $7.59 | $12.30 | $18.20 |
Cigna Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | None | $6.76 | $6.76 | $6.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $10.00 Median $38.90 Typical High $38.90 | Professional | None | $10.00 | $38.90 | $38.90 |
United Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $46.77 | Professional | None | $7.24 | $7.24 | $46.77 |
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 $3.39 Median $3.39 Typical High $4.90 | Professional | 52 · Reduced service | $3.39 | $3.39 | $4.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.35 Median $1.35 Typical High $1.95 | Professional | 53 · Discontinued | $1.35 | $1.35 | $1.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.00 Median $1.00 Typical High $1.45 | Professional | 55 · Aftercare only | $1.00 | $1.00 | $1.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.68 Median $0.68 Typical High $0.98 | Professional | 56 · Pre-op care only | $0.68 | $0.68 | $0.98 |
Where Georgia sits
The same service costs 6.0 times more in Wyoming 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
$6.76
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.