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 $17.78 Median $17.78 Typical High $17.78 | Facility | None | $17.78 | $17.78 | $17.78 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $26.30 | Professional | None | $17.78 | $17.78 | $26.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.38 Median $60.26 Typical High $64.57 | Facility | None | $17.38 | $60.26 | $64.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.45 Median $17.78 Typical High $19.50 | Professional | None | $14.45 | $17.78 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $20.42 Median $33.11 Typical High $47.86 | Facility | None | $20.42 | $33.11 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None | $17.78 | $17.78 | $17.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $19.50 Median $54.95 Typical High $54.95 | Professional | None | $19.50 | $54.95 | $54.95 |
United Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $26.92 | Professional | None | $17.38 | $17.38 | $26.92 |
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 $8.91 Median $8.91 Typical High $11.75 | Professional | 52 · Reduced service | $8.91 | $8.91 | $11.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $3.55 Typical High $4.79 | Professional | 53 · Discontinued | $3.55 | $3.55 | $4.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.69 Median $2.69 Typical High $3.55 | Professional | 55 · Aftercare only | $2.69 | $2.69 | $3.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.78 Median $1.78 Typical High $2.34 | Professional | 56 · Pre-op care only | $1.78 | $1.78 | $2.34 |
Where Georgia sits
The same service costs 1.5 times more in Alaska than in Rhode Island. 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· 49th of 51
$17.78
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.