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 $61.66 Median $61.66 Typical High $85.11 | Facility | None | $61.66 | $61.66 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $63.10 Typical High $81.28 | Professional | None | $61.66 | $63.10 | $81.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $131.83 Median $457.09 Typical High $478.63 | Facility | None | $131.83 | $457.09 | $478.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $72.44 Median $107.15 Typical High $371.54 | Professional | None | $72.44 | $107.15 | $371.54 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $7.76 Median $17.38 Typical High $79.43 | Professional | RR · Rental | $7.76 | $17.38 | $79.43 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $58.88 Median $131.83 Typical High $602.56 | Professional | UE · Used equipment | $58.88 | $131.83 | $602.56 |
CareSource Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
CareSource Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $177.83 | Professional | None | $58.88 | $58.88 | $177.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $91.20 Median $131.83 Typical High $239.88 | Professional | None | $91.20 | $131.83 | $239.88 |
United Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $85.11 | Facility | None | $79.43 | $79.43 | $85.11 |
United Setting Professional Modifier None Typical Low $43.65 Median $64.57 Typical High $165.96 | Professional | None | $43.65 | $64.57 | $165.96 |
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 $30.90 Median $31.62 Typical High $40.74 | Professional | 52 · Reduced service | $30.90 | $31.62 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.59 Typical High $16.22 | Professional | 53 · Discontinued | $12.30 | $12.59 | $16.22 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $9.55 Typical High $12.30 | Professional | 55 · Aftercare only | $9.12 | $9.55 | $12.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $6.31 Typical High $8.13 | Professional | 56 · Pre-op care only | $6.17 | $6.31 | $8.13 |
Where Georgia sits
The same service costs 5.1 times more in Kansas 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· 17th of 51
$95.50
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.