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 $3.39 Median $3.39 Typical High $8.91 | Facility | None | $3.39 | $3.39 | $8.91 |
Aetna Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $21.88 | Professional | None | $3.39 | $3.39 | $21.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.39 Median $6.03 Typical High $18.62 | Facility | None | $3.39 | $6.03 | $18.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $30.90 | Professional | None | $3.39 | $3.39 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $4.79 Median $6.17 Typical High $9.12 | Facility | None | $4.79 | $6.17 | $9.12 |
Cigna Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $3.39 | Professional | None | $3.39 | $3.39 | $3.39 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5.62 Median $10.96 Typical High $30.20 | Professional | None | $5.62 | $10.96 | $30.20 |
United Setting Professional Modifier None Typical Low $30.90 Median $32.36 Typical High $46.77 | Professional | None | $30.90 | $32.36 | $46.77 |
5 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 $1.70 Median $1.70 Typical High $12.59 | Professional | 52 · Reduced service | $1.70 | $1.70 | $12.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.68 Median $0.68 Typical High $5.01 | Professional | 53 · Discontinued | $0.68 | $0.68 | $5.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.50 Median $0.50 Typical High $3.80 | Professional | 55 · Aftercare only | $0.50 | $0.50 | $3.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.34 Median $0.34 Typical High $2.51 | Professional | 56 · Pre-op care only | $0.34 | $0.34 | $2.51 |
Ambetter Setting Professional Modifier JZ · No drug discarded Typical Low $4.37 Median $4.37 Typical High $4.37 | Professional | JZ · No drug discarded | $4.37 | $4.37 | $4.37 |
Where Georgia sits
The same service costs 9.1 times more in Rhode Island than in Florida. 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· 50th of 51
$3.39
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.