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 $21.38 Median $21.38 Typical High $21.38 | Facility | None | $21.38 | $21.38 | $21.38 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $28.84 | Professional | None | $21.38 | $21.38 | $28.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.89 Median $72.44 Typical High $77.62 | Facility | None | $20.89 | $72.44 | $77.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $17.38 Median $21.38 Typical High $21.88 | Professional | None | $17.38 | $21.38 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $24.55 Median $39.81 Typical High $57.54 | Facility | None | $24.55 | $39.81 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None | $21.38 | $21.38 | $21.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $20.42 Median $83.18 Typical High $114.82 | Professional | None | $20.42 | $83.18 | $114.82 |
United Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $36.31 | Professional | None | $20.89 | $20.89 | $36.31 |
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 $10.72 Median $10.72 Typical High $14.13 | Professional | 52 · Reduced service | $10.72 | $10.72 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $4.37 Typical High $5.62 | Professional | 53 · Discontinued | $4.37 | $4.37 | $5.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.24 Median $3.24 Typical High $4.27 | Professional | 55 · Aftercare only | $3.24 | $3.24 | $4.27 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.14 Median $2.14 Typical High $2.82 | Professional | 56 · Pre-op care only | $2.14 | $2.14 | $2.82 |
Where Georgia sits
The same service costs 1.9 times more in Alaska than in Maryland. 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· 47th of 51
$21.38
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.