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 $22.39 Median $22.39 Typical High $22.39 | Facility | None | $22.39 | $22.39 | $22.39 |
Aetna Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $30.90 | Professional | None | $22.39 | $22.39 | $30.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $22.39 Median $51.29 Typical High $123.03 | Facility | None | $22.39 | $51.29 | $123.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $17.38 Median $22.39 Typical High $26.92 | Professional | None | $17.38 | $22.39 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $41.69 Typical High $60.26 | Facility | None | $25.70 | $41.69 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | None | $22.39 | $22.39 | $22.39 |
Kaiser Permanente Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $25.70 | Professional | None | $15.14 | $15.14 | $25.70 |
United Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $38.90 | Professional | None | $22.91 | $22.91 | $38.90 |
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 $11.22 Median $11.22 Typical High $15.49 | Professional | 52 · Reduced service | $11.22 | $11.22 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $4.47 Typical High $6.17 | Professional | 53 · Discontinued | $4.47 | $4.47 | $6.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.39 Median $3.39 Typical High $4.68 | Professional | 55 · Aftercare only | $3.39 | $3.39 | $4.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.24 Median $2.24 Typical High $3.09 | Professional | 56 · Pre-op care only | $2.24 | $2.24 | $3.09 |
Where Georgia sits
The same service costs 1.9 times more in Alaska than in Mississippi. 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· 50th of 51
$22.39
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.