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 $162.18 Median $162.18 Typical High $245.47 | Facility | None | $162.18 | $162.18 | $245.47 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $537.03 | Professional | None | $162.18 | $162.18 | $537.03 |
Ambetter Setting Professional Modifier None Typical Low $234.42 Median $309.03 Typical High $338.84 | Professional | None | $234.42 | $309.03 | $338.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $177.83 Median $416.87 Typical High $645.65 | Facility | None | $177.83 | $416.87 | $645.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $218.78 | Professional | None | $162.18 | $162.18 | $218.78 |
CareSource Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $281.84 | Professional | None | $177.83 | $177.83 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $295.12 Typical High $426.58 | Facility | None | $181.97 | $295.12 | $426.58 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $331.13 | Professional | None | $162.18 | $162.18 | $331.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $169.82 Median $416.87 Typical High $457.09 | Professional | None | $169.82 | $416.87 | $457.09 |
Oscar Health Setting Professional Modifier None Typical Low $169.82 Median $177.83 Typical High $199.53 | Professional | None | $169.82 | $177.83 | $199.53 |
United Setting Professional Modifier None Typical Low $177.83 Median $186.21 Typical High $263.03 | Professional | None | $177.83 | $186.21 | $263.03 |
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 $79.43 Median $79.43 Typical High $85.11 | Professional | 52 · Reduced service | $79.43 | $79.43 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $33.88 | Professional | 53 · Discontinued | $32.36 | $32.36 | $33.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.99 Median $23.99 Typical High $25.12 | Professional | 55 · Aftercare only | $23.99 | $23.99 | $25.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $15.85 Typical High $16.98 | Professional | 56 · Pre-op care only | $15.85 | $15.85 | $16.98 |
Ambetter Setting Professional Modifier JZ · No drug discarded Typical Low $177.83 Median $288.40 Typical High $338.84 | Professional | JZ · No drug discarded | $177.83 | $288.40 | $338.84 |
Where Georgia sits
The same service costs 1.9 times more in Wyoming than in Nevada. 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· 32nd of 51
$170
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.