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 $380.19 Median $380.19 Typical High $537.03 | Facility | None | $380.19 | $380.19 | $537.03 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $389.05 Typical High $501.19 | Professional | None | $380.19 | $389.05 | $501.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $812.83 Median $2,818.38 Typical High $2,951.21 | Facility | None | $812.83 | $2,818.38 | $2,951.21 |
Anthem BCBS Setting Professional Modifier None Typical Low $436.52 Median $660.69 Typical High $2,290.87 | Professional | None | $436.52 | $660.69 | $2,290.87 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $46.77 Median $97.72 Typical High $446.68 | Professional | RR · Rental | $46.77 | $97.72 | $446.68 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $346.74 Median $741.31 Typical High $3,388.44 | Professional | UE · Used equipment | $346.74 | $741.31 | $3,388.44 |
CareSource Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Facility | None | $676.08 | $676.08 | $676.08 |
CareSource Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | None | $676.08 | $676.08 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $1,096.48 | Professional | None | $331.13 | $331.13 | $1,096.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $575.44 Median $812.83 Typical High $1,148.15 | Professional | None | $575.44 | $812.83 | $1,148.15 |
Oscar Health Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $1,071.52 | Professional | None | $933.25 | $933.25 | $1,071.52 |
United Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $630.96 | Facility | None | $478.63 | $478.63 | $630.96 |
United Setting Professional Modifier None Typical Low $263.03 Median $398.11 Typical High $1,023.29 | Professional | None | $263.03 | $398.11 | $1,023.29 |
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 $190.55 Median $190.55 Typical High $251.19 | Professional | 52 · Reduced service | $190.55 | $190.55 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $77.62 Typical High $100.00 | Professional | 53 · Discontinued | $75.86 | $77.62 | $100.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $57.54 Typical High $75.86 | Professional | 55 · Aftercare only | $56.23 | $57.54 | $75.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $38.90 Typical High $50.12 | Professional | 56 · Pre-op care only | $38.02 | $38.90 | $50.12 |
Where Georgia sits
The same service costs 4.6 times more in Hawaii than in Delaware. 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
$589
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.