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 $33.88 Median $33.88 Typical High $52.48 | Facility | None | $33.88 | $33.88 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $131.83 | Professional | None | $33.88 | $33.88 | $131.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $28.18 Median $97.72 Typical High $104.71 | Facility | None | $28.18 | $97.72 | $104.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $28.18 Median $33.88 Typical High $54.95 | Professional | None | $28.18 | $33.88 | $54.95 |
CareSource Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | None | $20.42 | $20.42 | $20.42 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $63.10 Typical High $91.20 | Facility | None | $38.90 | $63.10 | $91.20 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $38.90 | Professional | None | $33.88 | $33.88 | $38.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $26.30 Median $79.43 Typical High $229.09 | Professional | None | $26.30 | $79.43 | $229.09 |
Oscar Health Setting Professional Modifier None Typical Low $26.30 Median $28.18 Typical High $32.36 | Professional | None | $26.30 | $28.18 | $32.36 |
United Setting Professional Modifier None Typical Low $28.18 Median $30.20 Typical High $42.66 | Professional | None | $28.18 | $30.20 | $42.66 |
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 $16.98 Median $16.98 Typical High $17.78 | Professional | 52 · Reduced service | $16.98 | $16.98 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $6.76 Typical High $7.08 | Professional | 53 · Discontinued | $6.76 | $6.76 | $7.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.13 Median $5.13 Typical High $5.37 | Professional | 55 · Aftercare only | $5.13 | $5.13 | $5.37 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.39 Median $3.39 Typical High $3.55 | Professional | 56 · Pre-op care only | $3.39 | $3.39 | $3.55 |
Where Georgia sits
The same service costs 5.4 times more in Wyoming than in Arizona. 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· 11th of 51
$33.88
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.