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 $331.13 Median $331.13 Typical High $467.74 | Facility | None | $331.13 | $331.13 | $467.74 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $436.52 | Professional | None | $331.13 | $331.13 | $436.52 |
Anthem BCBS Setting Facility Modifier None Typical Low $707.95 Median $2,454.71 Typical High $2,630.27 | Facility | None | $707.95 | $2,454.71 | $2,630.27 |
Anthem BCBS Setting Professional Modifier None Typical Low $389.05 Median $616.60 Typical High $2,041.74 | Professional | None | $389.05 | $616.60 | $2,041.74 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $38.90 Median $74.13 Typical High $380.19 | Professional | RR · Rental | $38.90 | $74.13 | $380.19 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $295.12 Median $537.03 Typical High $2,884.03 | Professional | UE · Used equipment | $295.12 | $537.03 | $2,884.03 |
CareSource Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
CareSource Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | None | $588.84 | $588.84 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $954.99 | Professional | None | $316.23 | $316.23 | $954.99 |
Kaiser Permanente Setting Professional Modifier None Typical Low $501.19 Median $707.95 Typical High $1,122.02 | Professional | None | $501.19 | $707.95 | $1,122.02 |
Oscar Health Setting Professional Modifier None Typical Low $758.58 Median $933.25 Typical High $1,258.93 | Professional | None | $758.58 | $933.25 | $1,258.93 |
United Setting Professional Modifier None Typical Low $234.42 Median $346.74 Typical High $891.25 | Professional | None | $234.42 | $346.74 | $891.25 |
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 $165.96 Median $165.96 Typical High $218.78 | Professional | 52 · Reduced service | $165.96 | $165.96 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $67.61 Typical High $89.13 | Professional | 53 · Discontinued | $66.07 | $67.61 | $89.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $50.12 Typical High $66.07 | Professional | 55 · Aftercare only | $50.12 | $50.12 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $33.11 Typical High $43.65 | Professional | 56 · Pre-op care only | $33.11 | $33.11 | $43.65 |
Where Georgia sits
The same service costs 2.3 times more in Montana than in Delaware. 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· 15th of 51
$575
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.