How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $46.77 Typical High $56.23 | Professional | None | $45.71 | $46.77 | $56.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $46.77 Median $104.71 Typical High $257.04 | Facility | None | $46.77 | $104.71 | $257.04 |
Anthem BCBS Setting Professional Modifier None Typical Low $46.77 Median $53.70 Typical High $295.12 | Professional | None | $46.77 | $53.70 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $53.70 Typical High $85.11 | Facility | None | $47.86 | $53.70 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | None | $47.86 | $47.86 | $47.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $173.78 | Professional | None | $47.86 | $47.86 | $173.78 |
United Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $81.28 | Professional | None | $46.77 | $46.77 | $81.28 |
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 $22.91 Median $23.44 Typical High $28.18 | Professional | 52 · Reduced service | $22.91 | $23.44 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.33 Typical High $11.22 | Professional | 53 · Discontinued | $9.12 | $9.33 | $11.22 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.92 Median $6.92 Typical High $8.32 | Professional | 55 · Aftercare only | $6.92 | $6.92 | $8.32 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.57 Median $4.68 Typical High $5.62 | Professional | 56 · Pre-op care only | $4.57 | $4.68 | $5.62 |
Where Georgia sits
The same service costs 3.9 times more in Hawaii than in South Carolina. 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· 23rd of 51
$53.70
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.