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 $41.69 Median $41.69 Typical High $58.88 | Facility | None | $41.69 | $41.69 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $43.65 Typical High $57.54 | Professional | None | $41.69 | $43.65 | $57.54 |
Ambetter Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None | $70.79 | $70.79 | $70.79 |
Anthem BCBS Setting Facility Modifier None Typical Low $89.13 Median $309.03 Typical High $331.13 | Facility | None | $89.13 | $309.03 | $331.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $48.98 Median $77.62 Typical High $549.54 | Professional | None | $48.98 | $77.62 | $549.54 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $5.37 Median $12.02 Typical High $54.95 | Professional | RR · Rental | $5.37 | $12.02 | $54.95 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $39.81 Median $89.13 Typical High $407.38 | Professional | UE · Used equipment | $39.81 | $89.13 | $407.38 |
CareSource Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
CareSource Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None | $74.13 | $74.13 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $120.23 | Professional | None | $47.86 | $47.86 | $120.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $63.10 Median $89.13 Typical High $138.04 | Professional | None | $63.10 | $89.13 | $138.04 |
United Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $60.26 | Facility | None | $58.88 | $58.88 | $60.26 |
United Setting Professional Modifier None Typical Low $29.51 Median $43.65 Typical High $112.20 | Professional | None | $29.51 | $43.65 | $112.20 |
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 $20.89 Median $21.88 Typical High $28.18 | Professional | 52 · Reduced service | $20.89 | $21.88 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $8.71 Typical High $11.22 | Professional | 53 · Discontinued | $8.32 | $8.71 | $11.22 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.31 Median $6.46 Typical High $8.51 | Professional | 55 · Aftercare only | $6.31 | $6.46 | $8.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.17 Median $4.37 Typical High $5.62 | Professional | 56 · Pre-op care only | $4.17 | $4.37 | $5.62 |
Where Georgia sits
The same service costs 3.6 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· 16th of 51
$72.44
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.