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 $54.95 Median $54.95 Typical High $77.62 | Facility | None | $54.95 | $54.95 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $74.13 | Professional | None | $54.95 | $54.95 | $74.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $120.23 Median $416.87 Typical High $436.52 | Facility | None | $120.23 | $416.87 | $436.52 |
Anthem BCBS Setting Professional Modifier None Typical Low $60.26 Median $104.71 Typical High $389.05 | Professional | None | $60.26 | $104.71 | $389.05 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $6.03 Median $13.49 Typical High $61.66 | Professional | RR · Rental | $6.03 | $13.49 | $61.66 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $44.67 Median $100.00 Typical High $457.09 | Professional | UE · Used equipment | $44.67 | $100.00 | $457.09 |
CareSource Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
CareSource Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $158.49 | Professional | None | $44.67 | $44.67 | $158.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $83.18 Median $120.23 Typical High $169.82 | Professional | None | $83.18 | $120.23 | $169.82 |
United Setting Facility Modifier None Typical Low $29.51 Median $29.51 Typical High $48.98 | Facility | None | $29.51 | $29.51 | $48.98 |
United Setting Professional Modifier None Typical Low $38.90 Median $58.88 Typical High $147.91 | Professional | None | $38.90 | $58.88 | $147.91 |
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 $27.54 Median $27.54 Typical High $37.15 | Professional | 52 · Reduced service | $27.54 | $27.54 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $11.22 Typical High $14.79 | Professional | 53 · Discontinued | $11.22 | $11.22 | $14.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $8.32 Typical High $11.22 | Professional | 55 · Aftercare only | $8.32 | $8.32 | $11.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.50 Median $5.50 Typical High $7.41 | Professional | 56 · Pre-op care only | $5.50 | $5.50 | $7.41 |
Where Georgia sits
The same service costs 2.4 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· 9th of 51
$97.72
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.