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 $46.77 Median $46.77 Typical High $66.07 | Facility | None | $46.77 | $46.77 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $48.98 Typical High $63.10 | Professional | None | $46.77 | $48.98 | $63.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $102.33 Median $346.74 Typical High $371.54 | Facility | None | $102.33 | $346.74 | $371.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $54.95 Median $83.18 Typical High $288.40 | Professional | None | $54.95 | $83.18 | $288.40 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $5.89 Median $13.18 Typical High $60.26 | Professional | RR · Rental | $5.89 | $13.18 | $60.26 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $44.67 Median $100.00 Typical High $457.09 | Professional | UE · Used equipment | $44.67 | $100.00 | $457.09 |
CareSource Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
CareSource Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None | $85.11 | $85.11 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $134.90 | Professional | None | $53.70 | $53.70 | $134.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $70.79 Median $102.33 Typical High $181.97 | Professional | None | $70.79 | $102.33 | $181.97 |
United Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $64.57 | Facility | None | $47.86 | $47.86 | $64.57 |
United Setting Professional Modifier None Typical Low $33.11 Median $48.98 Typical High $125.89 | Professional | None | $33.11 | $48.98 | $125.89 |
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 $23.44 Median $24.55 Typical High $31.62 | Professional | 52 · Reduced service | $23.44 | $24.55 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $9.77 Typical High $12.59 | Professional | 53 · Discontinued | $9.33 | $9.77 | $12.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.08 Median $7.41 Typical High $9.33 | Professional | 55 · Aftercare only | $7.08 | $7.41 | $9.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.68 Median $4.90 Typical High $6.31 | Professional | 56 · Pre-op care only | $4.68 | $4.90 | $6.31 |
Where Georgia sits
The same service costs 3.2 times more in Hawaii 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
$74.13
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.