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 $26.92 Median $26.92 Typical High $26.92 | Facility | None | $26.92 | $26.92 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $52.48 | Professional | None | $26.92 | $26.92 | $52.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.92 Median $93.33 Typical High $97.72 | Facility | None | $26.92 | $93.33 | $97.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $23.99 Median $26.92 Typical High $46.77 | Professional | None | $23.99 | $26.92 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $28.84 Median $46.77 Typical High $69.18 | Facility | None | $28.84 | $46.77 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | None | $26.92 | $26.92 | $26.92 |
Kaiser Permanente Setting Professional Modifier None Typical Low $27.54 Median $144.54 Typical High $186.21 | Professional | None | $27.54 | $144.54 | $186.21 |
United Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $46.77 | Professional | None | $26.92 | $26.92 | $46.77 |
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 $13.18 Median $13.18 Typical High $13.49 | Professional | 52 · Reduced service | $13.18 | $13.18 | $13.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | 53 · Discontinued | $5.37 | $5.37 | $5.37 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.98 Median $3.98 Typical High $4.07 | Professional | 55 · Aftercare only | $3.98 | $3.98 | $4.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.63 Median $2.63 Typical High $2.69 | Professional | 56 · Pre-op care only | $2.63 | $2.63 | $2.69 |
Ambetter Setting Professional Modifier JZ · No drug discarded Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | JZ · No drug discarded | $34.67 | $34.67 | $34.67 |
Where Georgia sits
The same service costs 2.9 times more in Wyoming than in Minnesota. 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· 35th of 51
$26.92
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.