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 $18.20 Median $18.20 Typical High $18.20 | Facility | None | $18.20 | $18.20 | $18.20 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $26.30 | Professional | None | $18.20 | $18.20 | $26.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.50 Median $67.61 Typical High $70.79 | Facility | None | $19.50 | $67.61 | $70.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.45 Median $18.20 Typical High $42.66 | Professional | None | $14.45 | $18.20 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $20.42 Median $33.11 Typical High $48.98 | Facility | None | $20.42 | $33.11 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | None | $18.20 | $18.20 | $18.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $20.42 Median $181.97 Typical High $194.98 | Professional | None | $20.42 | $181.97 | $194.98 |
United Setting Professional Modifier None Typical Low $19.50 Median $20.42 Typical High $26.92 | Professional | None | $19.50 | $20.42 | $26.92 |
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 $9.12 Median $9.12 Typical High $13.18 | Professional | 52 · Reduced service | $9.12 | $9.12 | $13.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $3.63 Typical High $5.25 | Professional | 53 · Discontinued | $3.63 | $3.63 | $5.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.69 Median $2.69 Typical High $3.89 | Professional | 55 · Aftercare only | $2.69 | $2.69 | $3.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.82 Median $1.82 Typical High $2.63 | Professional | 56 · Pre-op care only | $1.82 | $1.82 | $2.63 |
Where Georgia sits
The same service costs 2.1 times more in Oklahoma 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· 48th of 51
$18.20
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.