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 $1.00 Median $2.29 Typical High $2.45 | Facility | None | $1.00 | $2.29 | $2.45 |
Aetna Setting Professional Modifier None Typical Low $2.24 Median $2.29 Typical High $3.47 | Professional | None | $2.24 | $2.29 | $3.47 |
Anthem BCBS Setting Facility Modifier None Typical Low $2.29 Median $4.07 Typical High $12.59 | Facility | None | $2.29 | $4.07 | $12.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.74 Median $2.29 Typical High $2.75 | Professional | None | $0.74 | $2.29 | $2.75 |
Cigna Setting Facility Modifier None Typical Low $2.57 Median $4.27 Typical High $6.17 | Facility | None | $2.57 | $4.27 | $6.17 |
Cigna Setting Professional Modifier None Typical Low $2.29 Median $2.29 Typical High $2.29 | Professional | None | $2.29 | $2.29 | $2.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $0.71 Median $1.26 Typical High $1.55 | Professional | None | $0.71 | $1.26 | $1.55 |
United Setting Professional Modifier None Typical Low $1.66 Median $1.70 Typical High $2.29 | Professional | None | $1.66 | $1.70 | $2.29 |
5 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 $1.12 Median $1.15 Typical High $1.17 | Professional | 52 · Reduced service | $1.12 | $1.15 | $1.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.45 Median $0.46 Typical High $0.47 | Professional | 53 · Discontinued | $0.45 | $0.46 | $0.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.34 Median $0.35 Typical High $0.35 | Professional | 55 · Aftercare only | $0.34 | $0.35 | $0.35 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.22 Median $0.23 Typical High $0.23 | Professional | 56 · Pre-op care only | $0.22 | $0.23 | $0.23 |
Ambetter Setting Professional Modifier JZ · No drug discarded Typical Low $2.14 Median $2.14 Typical High $2.14 | Professional | JZ · No drug discarded | $2.14 | $2.14 | $2.14 |
Where Georgia sits
The same service costs 3.8 times more in Alaska than in Oklahoma. 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· 31st of 51
$2.29
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.