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 $31.62 Median $31.62 Typical High $43.65 | Facility | None | $31.62 | $31.62 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $41.69 Typical High $83.18 | Professional | None | $31.62 | $41.69 | $83.18 |
Ambetter Setting Professional Modifier None Typical Low $26.30 Median $50.12 Typical High $109.65 | Professional | None | $26.30 | $50.12 | $109.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $67.61 Median $234.42 Typical High $245.47 | Facility | None | $67.61 | $234.42 | $245.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $37.15 Median $57.54 Typical High $251.19 | Professional | None | $37.15 | $57.54 | $251.19 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $3.98 Median $8.91 Typical High $40.74 | Professional | RR · Rental | $3.98 | $8.91 | $40.74 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $30.20 Median $67.61 Typical High $309.03 | Professional | UE · Used equipment | $30.20 | $67.61 | $309.03 |
CareSource Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
CareSource Setting Professional Modifier None Typical Low $56.23 Median $85.11 Typical High $104.71 | Professional | None | $56.23 | $85.11 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $91.20 | Professional | None | $33.11 | $33.11 | $91.20 |
Cigna Setting Professional Modifier RR · Rental Typical Low $4.57 Median $4.57 Typical High $4.57 | Professional | RR · Rental | $4.57 | $4.57 | $4.57 |
Kaiser Permanente Setting Professional Modifier None Typical Low $46.77 Median $67.61 Typical High $95.50 | Professional | None | $46.77 | $67.61 | $95.50 |
Oscar Health Setting Facility Modifier None Typical Low $102.33 Median $151.36 Typical High $162.18 | Facility | None | $102.33 | $151.36 | $162.18 |
Oscar Health Setting Professional Modifier None Typical Low $74.13 Median $91.20 Typical High $144.54 | Professional | None | $74.13 | $91.20 | $144.54 |
United Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $52.48 | Facility | None | $43.65 | $43.65 | $52.48 |
United Setting Professional Modifier None Typical Low $22.39 Median $33.11 Typical High $85.11 | Professional | None | $22.39 | $33.11 | $85.11 |
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 $15.85 Median $16.22 Typical High $21.88 | Professional | 52 · Reduced service | $15.85 | $16.22 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $6.61 Typical High $8.71 | Professional | 53 · Discontinued | $6.31 | $6.61 | $8.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.68 Median $4.90 Typical High $6.61 | Professional | 55 · Aftercare only | $4.68 | $4.90 | $6.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.16 Median $3.24 Typical High $4.37 | Professional | 56 · Pre-op care only | $3.16 | $3.24 | $4.37 |
Where Georgia sits
The same service costs 3.8 times more in Hawaii than in Florida. 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
$53.70
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.