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 $891.25 Median $891.25 Typical High $1,258.93 | Facility | None | $891.25 | $891.25 | $1,258.93 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $933.25 Typical High $1,202.26 | Professional | None | $891.25 | $933.25 | $1,202.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,905.46 Median $6,606.93 Typical High $7,079.46 | Facility | None | $1,905.46 | $6,606.93 | $7,079.46 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,047.13 Median $1,548.82 Typical High $5,370.32 | Professional | None | $1,047.13 | $1,548.82 | $5,370.32 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $114.82 Median $257.04 Typical High $1,174.90 | Professional | RR · Rental | $114.82 | $257.04 | $1,174.90 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $851.14 Median $1,905.46 Typical High $8,709.64 | Professional | UE · Used equipment | $851.14 | $1,905.46 | $8,709.64 |
CareSource Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,584.89 | $1,584.89 | $1,584.89 |
CareSource Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | None | $1,584.89 | $1,584.89 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | None | $1,288.25 | $1,288.25 | $1,288.25 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $2,570.40 | Professional | None | $933.25 | $933.25 | $2,570.40 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,348.96 Median $1,905.46 Typical High $3,548.13 | Professional | None | $1,348.96 | $1,905.46 | $3,548.13 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,318.26 | Facility | None | $1,258.93 | $1,258.93 | $1,318.26 |
United Setting Professional Modifier None Typical Low $630.96 Median $933.25 Typical High $2,398.83 | Professional | None | $630.96 | $933.25 | $2,398.83 |
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 $446.68 Median $467.74 Typical High $602.56 | Professional | 52 · Reduced service | $446.68 | $467.74 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $186.21 Typical High $239.88 | Professional | 53 · Discontinued | $177.83 | $186.21 | $239.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $141.25 Typical High $177.83 | Professional | 55 · Aftercare only | $134.90 | $141.25 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $93.33 Typical High $120.23 | Professional | 56 · Pre-op care only | $89.13 | $93.33 | $120.23 |
Where Georgia sits
The same service costs 3.2 times more in Hawaii than in Alabama. 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· 21st of 51
$1,380
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.