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 $257.04 Median $257.04 Typical High $407.38 | Facility | None | $257.04 | $257.04 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $275.42 Typical High $407.38 | Professional | None | $257.04 | $275.42 | $407.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $630.96 Median $2,137.96 Typical High $2,290.87 | Facility | None | $630.96 | $2,137.96 | $2,290.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $338.84 Median $537.03 Typical High $2,041.74 | Professional | None | $338.84 | $537.03 | $2,041.74 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $35.48 Median $79.43 Typical High $363.08 | Professional | RR · Rental | $35.48 | $79.43 | $363.08 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $263.03 Median $588.84 Typical High $2,691.53 | Professional | UE · Used equipment | $263.03 | $588.84 | $2,691.53 |
CareSource Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
CareSource Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | None | $524.81 | $524.81 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $831.76 | Professional | None | $363.08 | $363.08 | $831.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $436.52 Median $630.96 Typical High $891.25 | Professional | None | $436.52 | $630.96 | $891.25 |
United Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $288.40 | Facility | None | $229.09 | $229.09 | $288.40 |
United Setting Professional Modifier None Typical Low $223.87 Median $302.00 Typical High $776.25 | Professional | None | $223.87 | $302.00 | $776.25 |
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 $128.82 Median $138.04 Typical High $204.17 | Professional | 52 · Reduced service | $128.82 | $138.04 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $54.95 Typical High $81.28 | Professional | 53 · Discontinued | $51.29 | $54.95 | $81.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $40.74 Typical High $61.66 | Professional | 55 · Aftercare only | $38.02 | $40.74 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.70 Median $27.54 Typical High $40.74 | Professional | 56 · Pre-op care only | $25.70 | $27.54 | $40.74 |
Where Georgia sits
The same service costs 2.3 times more in Wisconsin 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· 16th of 51
$513
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.