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 $426.58 Median $426.58 Typical High $602.56 | Facility | None | $426.58 | $426.58 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $537.03 Typical High $794.33 | Professional | None | $426.58 | $537.03 | $794.33 |
Ambetter Setting Professional Modifier None Typical Low $389.05 Median $446.68 Typical High $691.83 | Professional | None | $389.05 | $446.68 | $691.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $741.31 Median $2,511.89 Typical High $2,691.53 | Facility | None | $741.31 | $2,511.89 | $2,691.53 |
Anthem BCBS Setting Professional Modifier None Typical Low $645.65 Median $851.14 Typical High $2,630.27 | Professional | None | $645.65 | $851.14 | $2,630.27 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $67.61 Median $81.28 Typical High $309.03 | Professional | RR · Rental | $67.61 | $81.28 | $309.03 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $512.86 Median $602.56 Typical High $2,344.23 | Professional | UE · Used equipment | $512.86 | $602.56 | $2,344.23 |
CareSource Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
CareSource Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None | $602.56 | $602.56 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $707.95 | Facility | None | $630.96 | $630.96 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $977.24 | Professional | None | $467.74 | $467.74 | $977.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $645.65 Median $741.31 Typical High $1,698.24 | Professional | None | $645.65 | $741.31 | $1,698.24 |
Oscar Health Setting Professional Modifier None Typical Low $724.44 Median $954.99 Typical High $1,174.90 | Professional | None | $724.44 | $954.99 | $1,174.90 |
United Setting Professional Modifier None Typical Low $363.08 Median $537.03 Typical High $912.01 | Professional | None | $363.08 | $537.03 | $912.01 |
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 $204.17 Median $213.80 Typical High $302.00 | Professional | 52 · Reduced service | $204.17 | $213.80 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $85.11 Typical High $120.23 | Professional | 53 · Discontinued | $81.28 | $85.11 | $120.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $64.57 Typical High $89.13 | Professional | 55 · Aftercare only | $60.26 | $64.57 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $42.66 Typical High $60.26 | Professional | 56 · Pre-op care only | $40.74 | $42.66 | $60.26 |
Where Georgia sits
The same service costs 2.2 times more in Kansas than in Utah. 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· 6th of 51
$759
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.