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 $2.19 Median $2.19 Typical High $3.39 | Facility | None | $2.19 | $2.19 | $3.39 |
Aetna Setting Professional Modifier None Typical Low $2.19 Median $2.19 Typical High $4.27 | Professional | None | $2.19 | $2.19 | $4.27 |
Anthem BCBS Setting Facility Modifier None Typical Low $2.19 Median $5.01 Typical High $12.02 | Facility | None | $2.19 | $5.01 | $12.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.78 Median $2.19 Typical High $2.63 | Professional | None | $1.78 | $2.19 | $2.63 |
Cigna Setting Facility Modifier None Typical Low $2.45 Median $4.07 Typical High $5.89 | Facility | None | $2.45 | $4.07 | $5.89 |
Cigna Setting Professional Modifier None Typical Low $2.19 Median $2.19 Typical High $2.19 | Professional | None | $2.19 | $2.19 | $2.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2.00 Median $2.45 Typical High $9.77 | Professional | None | $2.00 | $2.45 | $9.77 |
United Setting Professional Modifier None Typical Low $2.40 Median $2.40 Typical High $5.37 | Professional | None | $2.40 | $2.40 | $5.37 |
2 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 55 · Aftercare only Typical Low $0.33 Median $0.33 Typical High $0.48 | Professional | 55 · Aftercare only | $0.33 | $0.33 | $0.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.22 Median $0.22 Typical High $0.32 | Professional | 56 · Pre-op care only | $0.22 | $0.22 | $0.32 |
Where Georgia sits
The same service costs 1.9 times more in Wyoming than in South Carolina. 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
$2.19
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.