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 $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $48.98 | Professional | None | $32.36 | $32.36 | $48.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $31.62 Median $109.65 Typical High $117.49 | Facility | None | $31.62 | $109.65 | $117.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $25.70 Median $32.36 Typical High $34.67 | Professional | None | $25.70 | $32.36 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $58.88 Typical High $87.10 | Facility | None | $36.31 | $58.88 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None | $32.36 | $32.36 | $32.36 |
Kaiser Permanente Setting Professional Modifier None Typical Low $29.51 Median $35.48 Typical High $131.83 | Professional | None | $29.51 | $35.48 | $131.83 |
United Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $48.98 | Professional | None | $31.62 | $31.62 | $48.98 |
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 $16.22 Median $16.22 Typical High $21.38 | Professional | 52 · Reduced service | $16.22 | $16.22 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.46 Typical High $8.51 | Professional | 53 · Discontinued | $6.46 | $6.46 | $8.51 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.79 Median $4.79 Typical High $6.46 | Professional | 55 · Aftercare only | $4.79 | $4.79 | $6.46 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.24 Median $3.24 Typical High $4.27 | Professional | 56 · Pre-op care only | $3.24 | $3.24 | $4.27 |
Where Georgia sits
The same service costs 2.0 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· 41st of 51
$32.36
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.