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 $16.98 Median $16.98 Typical High $20.89 | Facility | None | $16.98 | $16.98 | $20.89 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $16.98 Typical High $19.95 | Professional | None | $15.14 | $16.98 | $19.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $20.89 Median $23.99 Typical High $39.81 | Professional | None | $20.89 | $23.99 | $39.81 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2.04 Median $2.40 Typical High $2.88 | Professional | RR · Rental | $2.04 | $2.40 | $2.88 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $15.14 Median $17.78 Typical High $21.88 | Professional | UE · Used equipment | $15.14 | $17.78 | $21.88 |
CareSource Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $28.84 | Professional | None | $20.89 | $20.89 | $28.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $30.90 Median $48.98 Typical High $87.10 | Professional | None | $30.90 | $48.98 | $87.10 |
Oscar Health Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $37.15 | Professional | None | $32.36 | $32.36 | $37.15 |
United Setting Professional Modifier None Typical Low $12.30 Median $19.05 Typical High $37.15 | Professional | None | $12.30 | $19.05 | $37.15 |
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 $7.41 Median $8.51 Typical High $10.00 | Professional | 52 · Reduced service | $7.41 | $8.51 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $3.39 Typical High $3.98 | Professional | 53 · Discontinued | $3.02 | $3.39 | $3.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.24 Median $2.51 Typical High $2.95 | Professional | 55 · Aftercare only | $2.24 | $2.51 | $2.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.51 Median $1.70 Typical High $2.00 | Professional | 56 · Pre-op care only | $1.51 | $1.70 | $2.00 |
Where Georgia sits
The same service costs 4.1 times more in Wyoming than in Utah. 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· 26th of 51
$23.99
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.