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 $933.25 Median $933.25 Typical High $1,318.26 | Facility | None | $933.25 | $933.25 | $1,318.26 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $954.99 Typical High $1,258.93 | Professional | None | $933.25 | $954.99 | $1,258.93 |
Ambetter Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,778.28 | Professional | None | $1,584.89 | $1,584.89 | $1,778.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,995.26 Median $6,918.31 Typical High $7,413.10 | Facility | None | $1,995.26 | $6,918.31 | $7,413.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,096.48 Median $1,737.80 Typical High $6,456.54 | Professional | None | $1,096.48 | $1,737.80 | $6,456.54 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $114.82 Median $239.88 Typical High $1,096.48 | Professional | RR · Rental | $114.82 | $239.88 | $1,096.48 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $851.14 Median $1,819.70 Typical High $8,128.31 | Professional | UE · Used equipment | $851.14 | $1,819.70 | $8,128.31 |
CareSource Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
CareSource Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,659.59 | $1,659.59 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,174.90 | $1,174.90 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $2,691.53 | Professional | None | $870.96 | $870.96 | $2,691.53 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,412.54 Median $1,995.26 Typical High $3,311.31 | Professional | None | $1,412.54 | $1,995.26 | $3,311.31 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,479.11 | Facility | None | $1,174.90 | $1,174.90 | $1,479.11 |
United Setting Professional Modifier None Typical Low $645.65 Median $977.24 Typical High $2,511.89 | Professional | None | $645.65 | $977.24 | $2,511.89 |
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 $467.74 Median $467.74 Typical High $616.60 | Professional | 52 · Reduced service | $467.74 | $467.74 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $190.55 Typical High $245.47 | Professional | 53 · Discontinued | $186.21 | $190.55 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $141.25 Typical High $186.21 | Professional | 55 · Aftercare only | $138.04 | $141.25 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $95.50 Typical High $123.03 | Professional | 56 · Pre-op care only | $93.33 | $95.50 | $123.03 |
Where Georgia sits
The same service costs 4.0 times more in Hawaii than in Pennsylvania. 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
$1,622
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.