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 $1,230.27 | Facility | None | $891.25 | $891.25 | $1,230.27 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $912.01 Typical High $1,174.90 | Professional | None | $891.25 | $912.01 | $1,174.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,905.46 Median $6,606.93 Typical High $6,918.31 | Facility | None | $1,905.46 | $6,606.93 | $6,918.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,047.13 Median $1,659.59 Typical High $6,165.95 | Professional | None | $1,047.13 | $1,659.59 | $6,165.95 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $109.65 Median $239.88 Typical High $1,096.48 | Professional | RR · Rental | $109.65 | $239.88 | $1,096.48 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $812.83 Median $1,819.70 Typical High $8,317.64 | Professional | UE · Used equipment | $812.83 | $1,819.70 | $8,317.64 |
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 $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | None | $1,380.38 | $1,380.38 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $2,511.89 | Professional | None | $1,023.29 | $1,023.29 | $2,511.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,318.26 Median $1,905.46 Typical High $2,754.23 | Professional | None | $1,318.26 | $1,905.46 | $2,754.23 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,174.90 | Facility | None | $1,000.00 | $1,000.00 | $1,174.90 |
United Setting Professional Modifier None Typical Low $616.60 Median $933.25 Typical High $2,398.83 | Professional | None | $616.60 | $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 $436.52 Median $457.09 Typical High $588.84 | Professional | 52 · Reduced service | $436.52 | $457.09 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $181.97 Typical High $234.42 | Professional | 53 · Discontinued | $177.83 | $181.97 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $138.04 Typical High $177.83 | Professional | 55 · Aftercare only | $131.83 | $138.04 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $91.20 Typical High $117.49 | Professional | 56 · Pre-op care only | $89.13 | $91.20 | $117.49 |
Where Georgia sits
The same service costs 2.7 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· 13th of 51
$1,549
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.