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 Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | None | $7.94 | $7.94 | $7.94 |
Anthem BCBS Setting Facility Modifier None Typical Low $724.44 Median $912.01 Typical High $3,715.35 | Facility | None | $724.44 | $912.01 | $3,715.35 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.19 Median $724.44 Typical High $724.44 | Professional | None | $2.19 | $724.44 | $724.44 |
Blue Shield Setting Facility Modifier None Typical Low $89.13 Median $1,288.25 Typical High $2,398.83 | Facility | None | $89.13 | $1,288.25 | $2,398.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $120.23 Median $138.04 Typical High $831.76 | Professional | None | $120.23 | $138.04 | $831.76 |
Providence Setting Professional Modifier None Typical Low $60.26 Median $79.43 Typical High $79.43 | Professional | None | $60.26 | $79.43 | $79.43 |
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 $3.98 Median $3.98 Typical High $3.98 | Professional | 52 · Reduced service | $3.98 | $3.98 | $3.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.58 Median $1.58 Typical High $1.58 | Professional | 53 · Discontinued | $1.58 | $1.58 | $1.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.20 Median $1.20 Typical High $1.20 | Professional | 55 · Aftercare only | $1.20 | $1.20 | $1.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.79 Median $0.79 Typical High $0.79 | Professional | 56 · Pre-op care only | $0.79 | $0.79 | $0.79 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $58.88 Median $72.44 Typical High $72.44 | Professional | RR · Rental | $58.88 | $72.44 | $72.44 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $467.74 Median $549.54 Typical High $549.54 | Professional | UE · Used equipment | $467.74 | $549.54 | $549.54 |
Where California sits
The same service costs 53703.2 times more in California than in Louisiana. 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.
California· 1st of 51
$1,072
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.