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 $912.01 Median $912.01 Typical High $1,288.25 | Facility | None | $912.01 | $912.01 | $1,288.25 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $954.99 Typical High $1,230.27 | Professional | None | $912.01 | $954.99 | $1,230.27 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,949.84 Median $6,760.83 Typical High $7,244.36 | Facility | None | $1,949.84 | $6,760.83 | $7,244.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,071.52 Median $1,584.89 Typical High $5,495.41 | Professional | None | $1,071.52 | $1,584.89 | $5,495.41 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $112.20 Median $257.04 Typical High $1,174.90 | Professional | RR · Rental | $112.20 | $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 $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,621.81 | $1,621.81 | $1,621.81 |
CareSource Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,621.81 | $1,621.81 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,174.90 | $1,174.90 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $2,630.27 | Professional | None | $851.14 | $851.14 | $2,630.27 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,380.38 Median $1,949.84 Typical High $2,951.21 | Professional | None | $1,380.38 | $1,949.84 | $2,951.21 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,258.93 | Facility | None | $1,122.02 | $1,122.02 | $1,258.93 |
United Setting Professional Modifier None Typical Low $645.65 Median $954.99 Typical High $2,454.71 | Professional | None | $645.65 | $954.99 | $2,454.71 |
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 $457.09 Median $478.63 Typical High $616.60 | Professional | 52 · Reduced service | $457.09 | $478.63 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $190.55 Typical High $245.47 | Professional | 53 · Discontinued | $181.97 | $190.55 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $144.54 Typical High $181.97 | Professional | 55 · Aftercare only | $138.04 | $144.54 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $95.50 Typical High $123.03 | Professional | 56 · Pre-op care only | $91.20 | $95.50 | $123.03 |
Where Georgia sits
The same service costs 3.3 times more in Hawaii 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· 19th of 51
$1,413
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.