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 $218.78 Median $218.78 Typical High $346.74 | Facility | None | $218.78 | $218.78 | $346.74 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $234.42 Typical High $331.13 | Professional | None | $218.78 | $234.42 | $331.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $537.03 Median $1,862.09 Typical High $1,949.84 | Facility | None | $537.03 | $1,862.09 | $1,949.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $295.12 Median $467.74 Typical High $1,737.80 | Professional | None | $295.12 | $467.74 | $1,737.80 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $31.62 Median $70.79 Typical High $323.59 | Professional | RR · Rental | $31.62 | $70.79 | $323.59 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $234.42 Median $524.81 Typical High $2,398.83 | Professional | UE · Used equipment | $234.42 | $524.81 | $2,398.83 |
CareSource Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
CareSource Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None | $446.68 | $446.68 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $724.44 | Professional | None | $263.03 | $263.03 | $724.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $371.54 Median $537.03 Typical High $758.58 | Professional | None | $371.54 | $537.03 | $758.58 |
United Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $416.87 | Facility | None | $346.74 | $346.74 | $416.87 |
United Setting Professional Modifier None Typical Low $204.17 Median $263.03 Typical High $676.08 | Professional | None | $204.17 | $263.03 | $676.08 |
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 $109.65 Median $117.49 Typical High $165.96 | Professional | 52 · Reduced service | $109.65 | $117.49 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $46.77 Typical High $66.07 | Professional | 53 · Discontinued | $43.65 | $46.77 | $66.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $35.48 Typical High $50.12 | Professional | 55 · Aftercare only | $33.11 | $35.48 | $50.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $23.44 Typical High $33.11 | Professional | 56 · Pre-op care only | $21.88 | $23.44 | $33.11 |
Where Georgia sits
The same service costs 3.7 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· 16th of 51
$437
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.