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 $6.46 Median $6.46 Typical High $11.75 | Facility | None | $6.46 | $6.46 | $11.75 |
Aetna Setting Professional Modifier None Typical Low $6.46 Median $6.46 Typical High $7.08 | Professional | None | $6.46 | $6.46 | $7.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $0.03 Median $5.13 Typical High $5.62 | Facility | None | $0.03 | $5.13 | $5.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $10.23 | Professional | None | $4.79 | $4.79 | $10.23 |
Blue Shield Setting Facility Modifier None Typical Low $0.03 Median $0.03 Typical High $0.03 | Facility | None | $0.03 | $0.03 | $0.03 |
Blue Shield Setting Professional Modifier None Typical Low $0.02 Median $0.02 Typical High $0.04 | Professional | None | $0.02 | $0.02 | $0.04 |
Cigna Setting Facility Modifier None Typical Low $4.79 Median $9.55 Typical High $14.45 | Facility | None | $4.79 | $9.55 | $14.45 |
Cigna Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $4.79 | Professional | None | $4.79 | $4.79 | $4.79 |
Kaiser Permanente Setting Professional Modifier None Typical Low $10.00 Median $15.85 Typical High $21.88 | Professional | None | $10.00 | $15.85 | $21.88 |
Molina Setting Professional Modifier None Typical Low $0.05 Median $0.05 Typical High $0.05 | Professional | None | $0.05 | $0.05 | $0.05 |
Providence Setting Facility Modifier None Typical Low $4.79 Median $9.33 Typical High $14.45 | Facility | None | $4.79 | $9.33 | $14.45 |
Providence Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $5.62 | Professional | None | $4.79 | $4.79 | $5.62 |
United Setting Professional Modifier None Typical Low $0.02 Median $0.02 Typical High $0.10 | Professional | None | $0.02 | $0.02 | $0.10 |
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 $0.95 Median $0.98 Typical High $1.00 | Professional | 55 · Aftercare only | $0.95 | $0.98 | $1.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.65 Median $0.65 Typical High $0.66 | Professional | 56 · Pre-op care only | $0.65 | $0.65 | $0.66 |
Where California sits
The same service costs 380.2 times more in Alaska than in Virginia. 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.
California· 27th of 51
$4.79
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.