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 $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $30.20 | Professional | None | $28.84 | $28.84 | $30.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $28.84 Median $64.57 Typical High $158.49 | Facility | None | $28.84 | $64.57 | $158.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $24.55 Median $28.84 Typical High $33.88 | Professional | None | $24.55 | $28.84 | $33.88 |
CareSource Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | None | $21.88 | $21.88 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $32.36 Median $52.48 Typical High $77.62 | Facility | None | $32.36 | $52.48 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $32.36 | Professional | None | $28.84 | $28.84 | $32.36 |
Kaiser Permanente Setting Professional Modifier None Typical Low $26.30 Median $29.51 Typical High $69.18 | Professional | None | $26.30 | $29.51 | $69.18 |
Oscar Health Setting Professional Modifier None Typical Low $24.55 Median $26.30 Typical High $29.51 | Professional | None | $24.55 | $26.30 | $29.51 |
United Setting Professional Modifier None Typical Low $24.55 Median $26.30 Typical High $35.48 | Professional | None | $24.55 | $26.30 | $35.48 |
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 $14.45 Median $14.45 Typical High $15.14 | Professional | 52 · Reduced service | $14.45 | $14.45 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $5.75 Typical High $6.03 | Professional | 53 · Discontinued | $5.75 | $5.75 | $6.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.37 Median $4.37 Typical High $4.57 | Professional | 55 · Aftercare only | $4.37 | $4.37 | $4.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.88 Median $2.88 Typical High $3.02 | Professional | 56 · Pre-op care only | $2.88 | $2.88 | $3.02 |
Where Georgia sits
The same service costs 2.5 times more in Wyoming 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· 21st of 51
$28.84
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.