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 $61.66 Median $61.66 Typical High $91.20 | Facility | None | $61.66 | $61.66 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $91.20 | Professional | None | $61.66 | $61.66 | $91.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $60.26 Median $204.17 Typical High $218.78 | Facility | None | $60.26 | $204.17 | $218.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $48.98 Median $61.66 Typical High $66.07 | Professional | None | $48.98 | $61.66 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $112.20 Typical High $162.18 | Facility | None | $69.18 | $112.20 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None | $61.66 | $61.66 | $61.66 |
Kaiser Permanente Setting Professional Modifier None Typical Low $57.54 Median $58.88 Typical High $64.57 | Professional | None | $57.54 | $58.88 | $64.57 |
United Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $91.20 | Professional | None | $60.26 | $60.26 | $91.20 |
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 $30.20 Median $30.20 Typical High $39.81 | Professional | 52 · Reduced service | $30.20 | $30.20 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.30 Typical High $16.22 | Professional | 53 · Discontinued | $12.30 | $12.30 | $16.22 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $9.12 Typical High $12.02 | Professional | 55 · Aftercare only | $9.12 | $9.12 | $12.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $6.17 Typical High $8.13 | Professional | 56 · Pre-op care only | $6.17 | $6.17 | $8.13 |
Where Georgia sits
The same service costs 1.9 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· 37th of 51
$61.66
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.