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 $30.20 Median $30.20 Typical High $34.67 | Facility | None | $30.20 | $30.20 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $32.36 Typical High $40.74 | Professional | None | $30.20 | $32.36 | $40.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $67.61 Median $234.42 Typical High $251.19 | Facility | None | $67.61 | $234.42 | $251.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $51.29 Median $66.07 Typical High $309.03 | Professional | None | $51.29 | $66.07 | $309.03 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $4.57 Median $6.76 Typical High $30.90 | Professional | RR · Rental | $4.57 | $6.76 | $30.90 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $33.88 Median $51.29 Typical High $234.42 | Professional | UE · Used equipment | $33.88 | $51.29 | $234.42 |
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 $75.86 | Professional | None | $56.23 | $56.23 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $54.95 | Facility | None | $44.67 | $44.67 | $54.95 |
Cigna Setting Facility Modifier RR · Rental Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | RR · Rental | $44.67 | $44.67 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $91.20 | Professional | None | $38.02 | $38.02 | $91.20 |
Cigna Setting Professional Modifier RR · Rental Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | RR · Rental | $109.65 | $109.65 | $109.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $316.23 | Professional | None | $67.61 | $67.61 | $316.23 |
United Setting Professional Modifier None Typical Low $23.99 Median $50.12 Typical High $138.04 | Professional | None | $23.99 | $50.12 | $138.04 |
3 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 55 · Aftercare only Typical Low $4.57 Median $4.57 Typical High $6.03 | Professional | 55 · Aftercare only | $4.57 | $4.57 | $6.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.02 Median $3.02 Typical High $4.07 | Professional | 56 · Pre-op care only | $3.02 | $3.02 | $4.07 |
Ambetter Setting Professional Modifier N1 · Oxygen group 1 Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | N1 · Oxygen group 1 | $50.12 | $50.12 | $50.12 |
Where Georgia sits
The same service costs 2.5 times more in Wyoming than in Florida. 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· 14th of 51
$61.66
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.