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 $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $26.30 | Professional | None | $25.70 | $25.70 | $26.30 |
Ambetter Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.70 Median $79.43 Typical High $95.50 | Facility | None | $25.70 | $79.43 | $95.50 |
Anthem BCBS Setting Professional Modifier None Typical Low $20.89 Median $25.70 Typical High $28.18 | Professional | None | $20.89 | $25.70 | $28.18 |
CareSource Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $41.69 | Professional | None | $25.70 | $25.70 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $28.84 Median $39.81 Typical High $57.54 | Facility | None | $28.84 | $39.81 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $25.70 Typical High $25.70 | Professional | None | $24.55 | $25.70 | $25.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $190.55 | Professional | None | $25.70 | $25.70 | $190.55 |
Oscar Health Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $28.84 | Professional | None | $25.70 | $25.70 | $28.84 |
United Setting Professional Modifier None Typical Low $25.70 Median $27.54 Typical High $37.15 | Professional | None | $25.70 | $27.54 | $37.15 |
6 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 $12.88 Median $12.88 Typical High $12.88 | Professional | 52 · Reduced service | $12.88 | $12.88 | $12.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.13 Typical High $5.13 | Professional | 53 · Discontinued | $5.13 | $5.13 | $5.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.89 Median $3.89 Typical High $3.89 | Professional | 55 · Aftercare only | $3.89 | $3.89 | $3.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.57 Median $2.57 Typical High $2.57 | Professional | 56 · Pre-op care only | $2.57 | $2.57 | $2.57 |
Ambetter Setting Professional Modifier JW · Drug discarded Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | JW · Drug discarded | $33.88 | $33.88 | $33.88 |
Ambetter Setting Professional Modifier JZ · No drug discarded Typical Low $25.70 Median $33.88 Typical High $33.88 | Professional | JZ · No drug discarded | $25.70 | $33.88 | $33.88 |
Where Georgia sits
Rates are fairly even across states for this service. 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· 41st of 51
$25.70
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.