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 $2.14 Median $2.14 Typical High $2.14 | Facility | None | $2.14 | $2.14 | $2.14 |
Aetna Setting Professional Modifier None Typical Low $2.14 Median $2.14 Typical High $4.07 | Professional | None | $2.14 | $2.14 | $4.07 |
Anthem BCBS Setting Facility Modifier None Typical Low $2.14 Median $7.41 Typical High $7.76 | Facility | None | $2.14 | $7.41 | $7.76 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.62 Median $2.14 Typical High $2.51 | Professional | None | $1.62 | $2.14 | $2.51 |
Cigna Setting Facility Modifier None Typical Low $2.45 Median $3.98 Typical High $5.75 | Facility | None | $2.45 | $3.98 | $5.75 |
Cigna Setting Professional Modifier None Typical Low $2.14 Median $2.14 Typical High $2.14 | Professional | None | $2.14 | $2.14 | $2.14 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1.45 Median $3.02 Typical High $3.98 | Professional | None | $1.45 | $3.02 | $3.98 |
United Setting Professional Modifier None Typical Low $2.14 Median $2.14 Typical High $3.24 | Professional | None | $2.14 | $2.14 | $3.24 |
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 $1.07 Median $1.07 Typical High $1.45 | Professional | 52 · Reduced service | $1.07 | $1.07 | $1.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.43 Median $0.43 Typical High $0.58 | Professional | 53 · Discontinued | $0.43 | $0.43 | $0.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.32 Median $0.32 Typical High $0.43 | Professional | 55 · Aftercare only | $0.32 | $0.32 | $0.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.22 Median $0.22 Typical High $0.28 | Professional | 56 · Pre-op care only | $0.22 | $0.22 | $0.28 |
Where Georgia sits
The same service costs 1.6 times more in Arizona than in Mississippi. 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· 24th of 51
$2.14
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.