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 $676.08 Median $676.08 Typical High $1,096.48 | Facility | None | $676.08 | $676.08 | $1,096.48 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $707.95 Typical High $1,023.29 | Professional | None | $676.08 | $707.95 | $1,023.29 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,659.59 Median $5,754.40 Typical High $6,165.95 | Facility | None | $1,659.59 | $5,754.40 | $6,165.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $870.96 Median $1,348.96 Typical High $4,677.35 | Professional | None | $870.96 | $1,348.96 | $4,677.35 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $87.10 Median $194.98 Typical High $891.25 | Professional | RR · Rental | $87.10 | $194.98 | $891.25 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $660.69 Median $1,479.11 Typical High $6,760.83 | Professional | UE · Used equipment | $660.69 | $1,479.11 | $6,760.83 |
CareSource Setting Facility Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | None | $1,380.38 | $1,380.38 | $1,380.38 |
CareSource Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,380.38 | $1,380.38 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $2,238.72 | Professional | None | $660.69 | $660.69 | $2,238.72 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,174.90 Median $1,659.59 Typical High $2,344.23 | Professional | None | $1,174.90 | $1,659.59 | $2,344.23 |
Oscar Health Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $2,187.76 | Professional | None | $1,949.84 | $1,949.84 | $2,187.76 |
United Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $954.99 | Facility | None | $812.83 | $812.83 | $954.99 |
United Setting Professional Modifier None Typical Low $562.34 Median $812.83 Typical High $2,089.30 | Professional | None | $562.34 | $812.83 | $2,089.30 |
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 $338.84 Median $354.81 Typical High $512.86 | Professional | 52 · Reduced service | $338.84 | $354.81 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $141.25 Typical High $208.93 | Professional | 53 · Discontinued | $134.90 | $141.25 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $107.15 Typical High $154.88 | Professional | 55 · Aftercare only | $102.33 | $107.15 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $70.79 Typical High $102.33 | Professional | 56 · Pre-op care only | $67.61 | $70.79 | $102.33 |
Where Georgia sits
The same service costs 3.2 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
$1,202
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.