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 $1,202.26 Median $1,202.26 Typical High $1,905.46 | Facility | None | $1,202.26 | $1,202.26 | $1,905.46 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,288.25 Typical High $1,862.09 | Professional | None | $1,202.26 | $1,288.25 | $1,862.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,951.21 Median $10,232.93 Typical High $10,715.19 | Facility | None | $2,951.21 | $10,232.93 | $10,715.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,621.81 Median $2,398.83 Typical High $8,317.64 | Professional | None | $1,621.81 | $2,398.83 | $8,317.64 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $169.82 Median $380.19 Typical High $1,737.80 | Professional | RR · Rental | $169.82 | $380.19 | $1,737.80 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,258.93 Median $2,818.38 Typical High $12,882.50 | Professional | UE · Used equipment | $1,258.93 | $2,818.38 | $12,882.50 |
CareSource Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,454.71 | $2,454.71 | $2,454.71 |
CareSource Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Professional | None | $2,454.71 | $2,454.71 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $3,981.07 | Professional | None | $1,258.93 | $1,258.93 | $3,981.07 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,041.74 Median $2,951.21 Typical High $4,168.69 | Professional | None | $2,041.74 | $2,951.21 | $4,168.69 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,621.81 | Facility | None | $1,445.44 | $1,445.44 | $1,621.81 |
United Setting Professional Modifier None Typical Low $1,096.48 Median $1,445.44 Typical High $3,715.35 | Professional | None | $1,096.48 | $1,445.44 | $3,715.35 |
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 $602.56 Median $645.65 Typical High $933.25 | Professional | 52 · Reduced service | $602.56 | $645.65 | $933.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $257.04 Typical High $371.54 | Professional | 53 · Discontinued | $239.88 | $257.04 | $371.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $194.98 Typical High $281.84 | Professional | 55 · Aftercare only | $181.97 | $194.98 | $281.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $128.82 Typical High $186.21 | Professional | 56 · Pre-op care only | $120.23 | $128.82 | $186.21 |
Where Georgia sits
The same service costs 2.7 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· 19th of 51
$2,138
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.