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 $20.42 Median $22.39 Typical High $22.39 | Facility | None | $20.42 | $22.39 | $22.39 |
Aetna Setting Professional Modifier None Typical Low $20.42 Median $22.39 Typical High $27.54 | Professional | None | $20.42 | $22.39 | $27.54 |
Ambetter Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $25.12 | Professional | None | $19.95 | $19.95 | $25.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $40.74 Median $60.26 Typical High $85.11 | Facility | None | $40.74 | $60.26 | $85.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.13 Median $27.54 Typical High $43.65 | Professional | None | $14.13 | $27.54 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | None | $23.99 | $23.99 | $23.99 |
Kaiser Permanente Setting Professional Modifier None Typical Low $16.60 Median $26.30 Typical High $42.66 | Professional | None | $16.60 | $26.30 | $42.66 |
United Setting Professional Modifier None Typical Low $16.60 Median $28.18 Typical High $74.13 | Professional | None | $16.60 | $28.18 | $74.13 |
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 $10.23 Median $11.22 Typical High $11.22 | Professional | 52 · Reduced service | $10.23 | $11.22 | $11.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.47 Typical High $4.47 | Professional | 53 · Discontinued | $4.07 | $4.47 | $4.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.09 Median $3.39 Typical High $3.39 | Professional | 55 · Aftercare only | $3.09 | $3.39 | $3.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.04 Median $2.24 Typical High $2.24 | Professional | 56 · Pre-op care only | $2.04 | $2.24 | $2.24 |
Where Georgia sits
The same service costs 4.1 times more in Wyoming 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· 26th of 51
$27.54
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.