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 $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $467.74 | Professional | None | $398.11 | $398.11 | $467.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $389.05 Median $1,348.96 Typical High $1,445.44 | Facility | None | $389.05 | $1,348.96 | $1,445.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $204.17 Median $398.11 Typical High $398.11 | Professional | None | $204.17 | $398.11 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $741.31 Typical High $1,071.52 | Facility | None | $457.09 | $741.31 | $1,071.52 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None | $398.11 | $398.11 | $398.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $426.58 | Professional | None | $112.20 | $112.20 | $426.58 |
United Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $501.19 | Professional | None | $389.05 | $389.05 | $501.19 |
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 $199.53 Median $199.53 Typical High $234.42 | Professional | 52 · Reduced service | $199.53 | $199.53 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $79.43 Typical High $93.33 | Professional | 53 · Discontinued | $79.43 | $79.43 | $93.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $60.26 Typical High $69.18 | Professional | 55 · Aftercare only | $60.26 | $60.26 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $39.81 Typical High $46.77 | Professional | 56 · Pre-op care only | $39.81 | $39.81 | $46.77 |
Where Georgia sits
The same service costs 2.8 times more in Arizona than in Alabama. 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· 41st of 51
$398
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.