How much rates vary
Facilitymedian $933 · 10th to 90th $813 to $3,388Professionalmedian $1,148 · 10th to 90th $708 to $2,630
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 $562.34 Median $562.34 Typical High $741.31 | Facility | None | $562.34 | $562.34 | $741.31 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $724.44 Typical High $1,479.11 | Professional | None | $562.34 | $724.44 | $1,479.11 |
Ambetter Setting Professional Modifier None Typical Low $851.14 Median $1,949.84 Typical High $2,511.89 | Professional | None | $851.14 | $1,949.84 | $2,511.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $933.25 Median $3,162.28 Typical High $3,388.44 | Facility | None | $933.25 | $3,162.28 | $3,388.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $741.31 Median $1,288.25 Typical High $3,548.13 | Professional | None | $741.31 | $1,288.25 | $3,548.13 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $74.13 Median $138.04 Typical High $380.19 | Professional | RR · Rental | $74.13 | $138.04 | $380.19 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $562.34 Median $870.96 Typical High $2,884.03 | Professional | UE · Used equipment | $562.34 | $870.96 | $2,884.03 |
CareSource Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
CareSource Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $891.25 | Facility | None | $812.83 | $812.83 | $891.25 |
Cigna Setting Facility Modifier RR · Rental Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | RR · Rental | $81.28 | $81.28 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $1,230.27 | Professional | None | $588.84 | $588.84 | $1,230.27 |
Cigna Setting Professional Modifier RR · Rental Typical Low $69.18 Median $69.18 Typical High $81.28 | Professional | RR · Rental | $69.18 | $69.18 | $81.28 |
Kaiser Permanente Setting Professional Modifier None Typical Low $912.01 Median $933.25 Typical High $2,398.83 | Professional | None | $912.01 | $933.25 | $2,398.83 |
United Setting Professional Modifier None Typical Low $549.54 Median $831.76 Typical High $1,258.93 | Professional | None | $549.54 | $831.76 | $1,258.93 |
5 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 $269.15 Median $281.84 Typical High $416.87 | Professional | 52 · Reduced service | $269.15 | $281.84 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $114.82 Typical High $169.82 | Professional | 53 · Discontinued | $109.65 | $114.82 | $169.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $85.11 Typical High $125.89 | Professional | 55 · Aftercare only | $81.28 | $85.11 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $56.23 Typical High $85.11 | Professional | 56 · Pre-op care only | $54.95 | $56.23 | $85.11 |
Ambetter Setting Professional Modifier KX · Policy requirements met Typical Low $977.24 Median $977.24 Typical High $1,698.24 | Professional | KX · Policy requirements met | $977.24 | $977.24 | $1,698.24 |
Where Georgia sits
The same service costs 2.6 times more in Hawaii than in Utah. 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· 5th of 51
$1,148
HI $1,445UT $550
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.