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 $95.50 Median $95.50 Typical High $134.90 | Facility | None | $95.50 | $95.50 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $97.72 Typical High $125.89 | Professional | None | $95.50 | $97.72 | $125.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $204.17 Median $707.95 Typical High $758.58 | Facility | None | $204.17 | $707.95 | $758.58 |
Anthem BCBS Setting Professional Modifier None Typical Low $104.71 Median $165.96 Typical High $575.44 | Professional | None | $104.71 | $165.96 | $575.44 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $10.72 Median $23.99 Typical High $109.65 | Professional | RR · Rental | $10.72 | $23.99 | $109.65 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $79.43 Median $181.97 Typical High $812.83 | Professional | UE · Used equipment | $79.43 | $181.97 | $812.83 |
CareSource Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
CareSource Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None | $169.82 | $169.82 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $275.42 | Professional | None | $89.13 | $89.13 | $275.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $144.54 Median $204.17 Typical High $288.40 | Professional | None | $144.54 | $204.17 | $288.40 |
United Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $100.00 | Facility | None | $87.10 | $87.10 | $100.00 |
United Setting Professional Modifier None Typical Low $66.07 Median $100.00 Typical High $257.04 | Professional | None | $66.07 | $100.00 | $257.04 |
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 $47.86 Median $48.98 Typical High $63.10 | Professional | 52 · Reduced service | $47.86 | $48.98 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.95 Typical High $25.70 | Professional | 53 · Discontinued | $19.05 | $19.95 | $25.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $14.79 Typical High $19.05 | Professional | 55 · Aftercare only | $14.45 | $14.79 | $19.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $9.77 Typical High $12.59 | Professional | 56 · Pre-op care only | $9.55 | $9.77 | $12.59 |
Where Georgia sits
The same service costs 2.5 times more in Hawaii than in Arizona. 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· 17th of 51
$148
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.