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 $50.12 Median $50.12 Typical High $70.79 | Facility | None | $50.12 | $50.12 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $52.48 Typical High $69.18 | Professional | None | $50.12 | $52.48 | $69.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $107.15 Median $371.54 Typical High $398.11 | Facility | None | $107.15 | $371.54 | $398.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $58.88 Median $87.10 Typical High $302.00 | Professional | None | $58.88 | $87.10 | $302.00 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $6.17 Median $14.13 Typical High $64.57 | Professional | RR · Rental | $6.17 | $14.13 | $64.57 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $45.71 Median $107.15 Typical High $489.78 | Professional | UE · Used equipment | $45.71 | $107.15 | $489.78 |
CareSource Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
CareSource Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None | $89.13 | $89.13 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $144.54 | Professional | None | $48.98 | $48.98 | $144.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $75.86 Median $107.15 Typical High $154.88 | Professional | None | $75.86 | $107.15 | $154.88 |
United Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $69.18 | Facility | None | $61.66 | $61.66 | $69.18 |
United Setting Professional Modifier None Typical Low $35.48 Median $52.48 Typical High $134.90 | Professional | None | $35.48 | $52.48 | $134.90 |
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 $25.12 Median $26.30 Typical High $33.88 | Professional | 52 · Reduced service | $25.12 | $26.30 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.47 Typical High $13.49 | Professional | 53 · Discontinued | $10.00 | $10.47 | $13.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.59 Median $7.94 Typical High $10.47 | Professional | 55 · Aftercare only | $7.59 | $7.94 | $10.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.01 Median $5.25 Typical High $6.76 | Professional | 56 · Pre-op care only | $5.01 | $5.25 | $6.76 |
Where Georgia sits
The same service costs 3.5 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· 21st of 51
$79.43
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.