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 $724.44 Median $724.44 Typical High $1,174.90 | Facility | None | $724.44 | $724.44 | $1,174.90 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $776.25 Typical High $1,148.15 | Professional | None | $724.44 | $776.25 | $1,148.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,778.28 Median $6,165.95 Typical High $6,606.93 | Facility | None | $1,778.28 | $6,165.95 | $6,606.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $977.24 Median $1,548.82 Typical High $5,754.40 | Professional | None | $977.24 | $1,548.82 | $5,754.40 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $107.15 Median $239.88 Typical High $1,071.52 | Professional | RR · Rental | $107.15 | $239.88 | $1,071.52 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $794.33 Median $1,778.28 Typical High $8,128.31 | Professional | UE · Used equipment | $794.33 | $1,778.28 | $8,128.31 |
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 $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | None | $1,380.38 | $1,380.38 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $2,398.83 | Professional | None | $1,000.00 | $1,000.00 | $2,398.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,258.93 Median $1,778.28 Typical High $2,511.89 | Professional | None | $1,258.93 | $1,778.28 | $2,511.89 |
United Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $1,047.13 | Facility | None | $933.25 | $933.25 | $1,047.13 |
United Setting Professional Modifier None Typical Low $676.08 Median $870.96 Typical High $2,238.72 | Professional | None | $676.08 | $870.96 | $2,238.72 |
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 $363.08 Median $389.05 Typical High $575.44 | Professional | 52 · Reduced service | $363.08 | $389.05 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $154.88 Typical High $229.09 | Professional | 53 · Discontinued | $144.54 | $154.88 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $117.49 Typical High $173.78 | Professional | 55 · Aftercare only | $109.65 | $117.49 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $77.62 Typical High $114.82 | Professional | 56 · Pre-op care only | $72.44 | $77.62 | $114.82 |
Where Georgia sits
The same service costs 2.5 times more in Hawaii than in Washington, DC. 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
$1,445
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.