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 $1,148.15 | Facility | None | $724.44 | $724.44 | $1,148.15 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $776.25 Typical High $1,096.48 | Professional | None | $724.44 | $776.25 | $1,096.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,778.28 Median $6,025.60 Typical High $6,456.54 | Facility | None | $1,778.28 | $6,025.60 | $6,456.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $954.99 Median $1,513.56 Typical High $6,606.93 | Professional | None | $954.99 | $1,513.56 | $6,606.93 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $104.71 Median $234.42 Typical High $1,071.52 | Professional | RR · Rental | $104.71 | $234.42 | $1,071.52 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $794.33 Median $1,778.28 Typical High $7,943.28 | Professional | UE · Used equipment | $794.33 | $1,778.28 | $7,943.28 |
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 $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $2,344.23 | Professional | None | $891.25 | $891.25 | $2,344.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,230.27 Median $1,778.28 Typical High $2,511.89 | Professional | None | $1,230.27 | $1,778.28 | $2,511.89 |
United Setting Facility Modifier None Typical Low $977.24 Median $977.24 Typical High $1,148.15 | Facility | None | $977.24 | $977.24 | $1,148.15 |
United Setting Professional Modifier None Typical Low $676.08 Median $870.96 Typical High $2,187.76 | Professional | None | $676.08 | $870.96 | $2,187.76 |
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 $549.54 | Professional | 52 · Reduced service | $363.08 | $389.05 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $154.88 Typical High $218.78 | Professional | 53 · Discontinued | $144.54 | $154.88 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $114.82 Typical High $162.18 | Professional | 55 · Aftercare only | $107.15 | $114.82 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $77.62 Typical High $109.65 | Professional | 56 · Pre-op care only | $72.44 | $77.62 | $109.65 |
Where Georgia sits
The same service costs 2.8 times more in Hawaii than in Pennsylvania. 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· 14th 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.