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 $14.13 Median $14.13 Typical High $14.13 | Facility | None | $14.13 | $14.13 | $14.13 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $20.89 | Professional | None | $14.13 | $14.13 | $20.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.80 Median $47.86 Typical High $51.29 | Facility | None | $13.80 | $47.86 | $51.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.22 Median $14.13 Typical High $16.60 | Professional | None | $11.22 | $14.13 | $16.60 |
Cigna Setting Facility Modifier None Typical Low $15.85 Median $25.70 Typical High $38.02 | Facility | None | $15.85 | $25.70 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $16.22 Median $64.57 Typical High $138.04 | Professional | None | $16.22 | $64.57 | $138.04 |
United Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $22.39 | Professional | None | $13.80 | $13.80 | $22.39 |
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 $7.08 Median $7.08 Typical High $9.33 | Professional | 52 · Reduced service | $7.08 | $7.08 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $2.82 Typical High $3.80 | Professional | 53 · Discontinued | $2.82 | $2.82 | $3.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.09 Median $2.09 Typical High $2.82 | Professional | 55 · Aftercare only | $2.09 | $2.09 | $2.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.41 Median $1.41 Typical High $1.86 | Professional | 56 · Pre-op care only | $1.41 | $1.41 | $1.86 |
Where Georgia sits
The same service costs 1.8 times more in Alaska than in 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· 46th of 51
$14.13
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.