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 $3,981.07 Median $3,981.07 Typical High $5,011.87 | Facility | None | $3,981.07 | $3,981.07 | $5,011.87 |
Aetna Setting Professional Modifier None Typical Low $3,981.07 Median $5,011.87 Typical High $5,011.87 | Professional | None | $3,981.07 | $5,011.87 | $5,011.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,995.26 Median $2,511.89 Typical High $2,511.89 | Professional | 52 · Reduced service | $1,995.26 | $2,511.89 | $2,511.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $794.33 Median $1,000.00 Typical High $1,000.00 | Professional | 53 · Discontinued | $794.33 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $602.56 Median $758.58 Typical High $758.58 | Professional | 55 · Aftercare only | $602.56 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $398.11 Median $501.19 Typical High $501.19 | Professional | 56 · Pre-op care only | $398.11 | $501.19 | $501.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $407.38 Median $630.96 Typical High $831.76 | Professional | None | $407.38 | $630.96 | $831.76 |
Lucent Health Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Professional | None | $2,344.23 | $2,344.23 | $2,344.23 |
Providence Setting Facility Modifier None Typical Low $3,801.89 Median $5,011.87 Typical High $5,754.40 | Facility | None | $3,801.89 | $5,011.87 | $5,754.40 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $3,801.89 | Professional | None | $79.43 | $79.43 | $3,801.89 |
1 more rate 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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier RR · Rental + UE · Used equipment Typical Low $309.03 Median $346.74 Typical High $346.74 | Professional | RR · Rental + UE · Used equipment | $309.03 | $346.74 | $346.74 |
Where California sits
The same service costs 95.5 times more in Hawaii than in Montana. 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· 2nd of 51
$5,012
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.