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 $51.29 Median $51.29 Typical High $72.44 | Facility | None | $51.29 | $51.29 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $69.18 | Professional | None | $51.29 | $51.29 | $69.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $109.65 Median $380.19 Typical High $407.38 | Facility | None | $109.65 | $380.19 | $407.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $51.29 Median $95.50 Typical High $501.19 | Professional | None | $51.29 | $95.50 | $501.19 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $4.90 Median $10.96 Typical High $50.12 | Professional | RR · Rental | $4.90 | $10.96 | $50.12 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $37.15 Median $83.18 Typical High $380.19 | Professional | UE · Used equipment | $37.15 | $83.18 | $380.19 |
CareSource Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
CareSource Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None | $91.20 | $91.20 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $147.91 | Professional | None | $44.67 | $44.67 | $147.91 |
Kaiser Permanente Setting Professional Modifier None Typical Low $77.62 Median $109.65 Typical High $158.49 | Professional | None | $77.62 | $109.65 | $158.49 |
United Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $45.71 | Facility | None | $41.69 | $41.69 | $45.71 |
United Setting Professional Modifier None Typical Low $36.31 Median $53.70 Typical High $138.04 | Professional | None | $36.31 | $53.70 | $138.04 |
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 $25.70 Median $25.70 Typical High $34.67 | Professional | 52 · Reduced service | $25.70 | $25.70 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.23 Typical High $13.80 | Professional | 53 · Discontinued | $10.23 | $10.23 | $13.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.76 Median $7.76 Typical High $10.23 | Professional | 55 · Aftercare only | $7.76 | $7.76 | $10.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $5.13 Typical High $6.92 | Professional | 56 · Pre-op care only | $5.13 | $5.13 | $6.92 |
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· 5th of 51
$89.13
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.