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 $15.85 Median $15.85 Typical High $19.50 | Facility | None | $15.85 | $15.85 | $19.50 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $15.85 Typical High $18.62 | Professional | None | $14.13 | $15.85 | $18.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $19.95 Median $36.31 Typical High $42.66 | Professional | None | $19.95 | $36.31 | $42.66 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $3.16 Median $3.89 Typical High $4.27 | Professional | RR · Rental | $3.16 | $3.89 | $4.27 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $23.44 Median $29.51 Typical High $31.62 | Professional | UE · Used equipment | $23.44 | $29.51 | $31.62 |
CareSource Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Facility | None | $27.54 | $27.54 | $27.54 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $27.54 | Professional | None | $19.95 | $19.95 | $27.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $28.84 Median $45.71 Typical High $81.28 | Professional | None | $28.84 | $45.71 | $81.28 |
Oscar Health Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $34.67 | Professional | None | $30.20 | $30.20 | $34.67 |
United Setting Professional Modifier None Typical Low $11.48 Median $18.20 Typical High $34.67 | Professional | None | $11.48 | $18.20 | $34.67 |
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 $7.08 Median $7.94 Typical High $9.33 | Professional | 52 · Reduced service | $7.08 | $7.94 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $3.16 Typical High $3.72 | Professional | 53 · Discontinued | $2.82 | $3.16 | $3.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.14 Median $2.40 Typical High $2.82 | Professional | 55 · Aftercare only | $2.14 | $2.40 | $2.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.41 Median $1.58 Typical High $1.86 | Professional | 56 · Pre-op care only | $1.41 | $1.58 | $1.86 |
Where Georgia sits
The same service costs 4.4 times more in Wyoming than in Colorado. 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
$26.92
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.