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 $41.69 Median $41.69 Typical High $54.95 | Facility | None | $41.69 | $41.69 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $41.69 Typical High $52.48 | Professional | None | $37.15 | $41.69 | $52.48 |
Ambetter Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None | $33.88 | $33.88 | $33.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $38.02 Median $58.88 Typical High $309.03 | Professional | None | $38.02 | $58.88 | $309.03 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $4.17 Median $6.76 Typical High $30.90 | Professional | RR · Rental | $4.17 | $6.76 | $30.90 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $31.62 Median $50.12 Typical High $229.09 | Professional | UE · Used equipment | $31.62 | $50.12 | $229.09 |
CareSource Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
CareSource Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | None | $56.23 | $56.23 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $48.98 | Facility | None | $39.81 | $39.81 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $89.13 | Professional | None | $33.88 | $33.88 | $89.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $46.77 Median $67.61 Typical High $95.50 | Professional | None | $46.77 | $67.61 | $95.50 |
United Setting Professional Modifier None Typical Low $21.88 Median $33.11 Typical High $91.20 | Professional | None | $21.88 | $33.11 | $91.20 |
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 $20.42 Median $20.89 Typical High $26.30 | Professional | 52 · Reduced service | $20.42 | $20.89 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $8.32 Typical High $10.47 | Professional | 53 · Discontinued | $8.13 | $8.32 | $10.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.03 Median $6.31 Typical High $7.94 | Professional | 55 · Aftercare only | $6.03 | $6.31 | $7.94 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $4.17 Typical High $5.25 | Professional | 56 · Pre-op care only | $4.07 | $4.17 | $5.25 |
Where Georgia sits
The same service costs 2.3 times more in Kansas than in New Jersey. 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· 15th of 51
$54.95
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.