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 $83.18 Median $83.18 Typical High $134.90 | Facility | None | $83.18 | $83.18 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $93.33 Typical High $125.89 | Professional | None | $83.18 | $93.33 | $125.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $204.17 Median $707.95 Typical High $758.58 | Facility | None | $204.17 | $707.95 | $758.58 |
Anthem BCBS Setting Professional Modifier None Typical Low $112.20 Median $165.96 Typical High $575.44 | Professional | None | $112.20 | $165.96 | $575.44 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $12.02 Median $26.92 Typical High $120.23 | Professional | RR · Rental | $12.02 | $26.92 | $120.23 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $89.13 Median $199.53 Typical High $912.01 | Professional | UE · Used equipment | $89.13 | $199.53 | $912.01 |
CareSource Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
CareSource Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None | $169.82 | $169.82 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $275.42 | Professional | None | $89.13 | $89.13 | $275.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $144.54 Median $204.17 Typical High $288.40 | Professional | None | $144.54 | $204.17 | $288.40 |
United Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $131.83 | Facility | None | $107.15 | $107.15 | $131.83 |
United Setting Professional Modifier None Typical Low $75.86 Median $100.00 Typical High $257.04 | Professional | None | $75.86 | $100.00 | $257.04 |
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 $41.69 Median $44.67 Typical High $63.10 | Professional | 52 · Reduced service | $41.69 | $44.67 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $17.78 Typical High $25.70 | Professional | 53 · Discontinued | $16.60 | $17.78 | $25.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $13.49 Typical High $19.05 | Professional | 55 · Aftercare only | $12.59 | $13.49 | $19.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $8.91 Typical High $12.59 | Professional | 56 · Pre-op care only | $8.32 | $8.91 | $12.59 |
Where Georgia sits
The same service costs 3.0 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· 20th of 51
$151
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.