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 $23.99 Median $23.99 Typical High $33.88 | Facility | None | $23.99 | $23.99 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $24.55 Typical High $32.36 | Professional | None | $23.99 | $24.55 | $32.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $51.29 Median $177.83 Typical High $190.55 | Facility | None | $51.29 | $177.83 | $190.55 |
Anthem BCBS Setting Professional Modifier None Typical Low $27.54 Median $44.67 Typical High $281.84 | Professional | None | $27.54 | $44.67 | $281.84 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2.75 Median $6.17 Typical High $28.18 | Professional | RR · Rental | $2.75 | $6.17 | $28.18 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $20.42 Median $45.71 Typical High $208.93 | Professional | UE · Used equipment | $20.42 | $45.71 | $208.93 |
CareSource Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Facility | None | $43.65 | $43.65 | $43.65 |
CareSource Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None | $43.65 | $43.65 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Facility | None | $33.88 | $33.88 | $33.88 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $69.18 | Professional | None | $24.55 | $24.55 | $69.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $20.89 Median $51.29 Typical High $74.13 | Professional | None | $20.89 | $51.29 | $74.13 |
United Setting Professional Modifier None Typical Low $16.98 Median $25.12 Typical High $64.57 | Professional | None | $16.98 | $25.12 | $64.57 |
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 $12.02 Median $12.30 Typical High $16.22 | Professional | 52 · Reduced service | $12.02 | $12.30 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $4.90 Typical High $6.46 | Professional | 53 · Discontinued | $4.79 | $4.90 | $6.46 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.63 Median $3.63 Typical High $4.79 | Professional | 55 · Aftercare only | $3.63 | $3.63 | $4.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.40 Median $2.45 Typical High $3.24 | Professional | 56 · Pre-op care only | $2.40 | $2.45 | $3.24 |
Where Georgia sits
The same service costs 2.2 times more in Montana than in Arizona. 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· 14th of 51
$42.66
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.