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 $3.31 Median $3.31 Typical High $8.71 | Facility | None | $3.31 | $3.31 | $8.71 |
Aetna Setting Professional Modifier None Typical Low $3.31 Median $3.98 Typical High $4.79 | Professional | None | $3.31 | $3.98 | $4.79 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.80 Median $6.46 Typical High $18.20 | Facility | None | $3.80 | $6.46 | $18.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.51 Median $2.45 Typical High $3.39 | Professional | None | $1.51 | $2.45 | $3.39 |
Cigna Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $6.61 | Professional | None | $2.95 | $2.95 | $6.61 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4.90 Median $7.41 Typical High $22.91 | Professional | None | $4.90 | $7.41 | $22.91 |
United Setting Professional Modifier None Typical Low $2.24 Median $3.09 Typical High $10.47 | Professional | None | $2.24 | $3.09 | $10.47 |
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 $1.66 Median $2.00 Typical High $2.40 | Professional | 52 · Reduced service | $1.66 | $2.00 | $2.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.66 Median $0.79 Typical High $0.95 | Professional | 53 · Discontinued | $0.66 | $0.79 | $0.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.49 Median $0.59 Typical High $0.71 | Professional | 55 · Aftercare only | $0.49 | $0.59 | $0.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.33 Median $0.39 Typical High $0.48 | Professional | 56 · Pre-op care only | $0.33 | $0.39 | $0.48 |
Where Georgia sits
The same service costs 3.6 times more in Mississippi than in Kentucky. 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· 50th of 51
$2.45
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.