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 $812.83 Median $812.83 Typical High $1,148.15 | Facility | None | $812.83 | $812.83 | $1,148.15 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $1,096.48 | Professional | None | $812.83 | $812.83 | $1,096.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,737.80 Median $6,025.60 Typical High $6,456.54 | Facility | None | $1,737.80 | $6,025.60 | $6,456.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $851.14 Median $1,445.44 Typical High $5,011.87 | Professional | None | $851.14 | $1,445.44 | $5,011.87 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $85.11 Median $194.98 Typical High $891.25 | Professional | RR · Rental | $85.11 | $194.98 | $891.25 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $645.65 Median $1,445.44 Typical High $6,606.93 | Professional | UE · Used equipment | $645.65 | $1,445.44 | $6,606.93 |
CareSource Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Facility | None | $1,479.11 | $1,479.11 | $1,479.11 |
CareSource Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Professional | None | $1,479.11 | $1,479.11 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $2,344.23 | Professional | None | $645.65 | $645.65 | $2,344.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,230.27 Median $1,737.80 Typical High $2,511.89 | Professional | None | $1,230.27 | $1,737.80 | $2,511.89 |
Oscar Health Setting Professional Modifier None Typical Low $1,819.70 Median $2,511.89 Typical High $3,890.45 | Professional | None | $1,819.70 | $2,511.89 | $3,890.45 |
United Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $870.96 | Facility | None | $707.95 | $707.95 | $870.96 |
United Setting Professional Modifier None Typical Low $575.44 Median $851.14 Typical High $2,187.76 | Professional | None | $575.44 | $851.14 | $2,187.76 |
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 $407.38 Median $407.38 Typical High $549.54 | Professional | 52 · Reduced service | $407.38 | $407.38 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $162.18 Typical High $218.78 | Professional | 53 · Discontinued | $162.18 | $162.18 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $123.03 Typical High $162.18 | Professional | 55 · Aftercare only | $123.03 | $123.03 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $81.28 Typical High $109.65 | Professional | 56 · Pre-op care only | $81.28 | $81.28 | $109.65 |
Where Georgia sits
The same service costs 3.0 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· 16th of 51
$1,259
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.