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 $45.71 Median $45.71 Typical High $63.10 | Facility | None | $45.71 | $45.71 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $47.86 Typical High $61.66 | Professional | None | $45.71 | $47.86 | $61.66 |
Ambetter Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | None | $48.98 | $48.98 | $48.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $97.72 Median $338.84 Typical High $354.81 | Facility | None | $97.72 | $338.84 | $354.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $54.95 Median $85.11 Typical High $588.84 | Professional | None | $54.95 | $85.11 | $588.84 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $5.75 Median $12.88 Typical High $58.88 | Professional | RR · Rental | $5.75 | $12.88 | $58.88 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $43.65 Median $66.07 Typical High $446.68 | Professional | UE · Used equipment | $43.65 | $66.07 | $446.68 |
CareSource Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
CareSource Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None | $81.28 | $81.28 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $63.10 Typical High $63.10 | Facility | None | $56.23 | $63.10 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $131.83 | Professional | None | $45.71 | $45.71 | $131.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $67.61 Median $97.72 Typical High $190.55 | Professional | None | $67.61 | $97.72 | $190.55 |
United Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $63.10 | Facility | None | $60.26 | $60.26 | $63.10 |
United Setting Professional Modifier None Typical Low $32.36 Median $47.86 Typical High $123.03 | Professional | None | $32.36 | $47.86 | $123.03 |
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 $22.91 Median $23.44 Typical High $30.90 | Professional | 52 · Reduced service | $22.91 | $23.44 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.55 Typical High $12.30 | Professional | 53 · Discontinued | $9.12 | $9.55 | $12.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.76 Median $7.08 Typical High $9.12 | Professional | 55 · Aftercare only | $6.76 | $7.08 | $9.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.57 Median $4.79 Typical High $6.17 | Professional | 56 · Pre-op care only | $4.57 | $4.79 | $6.17 |
Where Georgia sits
The same service costs 3.8 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· 17th of 51
$79.43
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.