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 $1,513.56 Median $1,513.56 Typical High $2,398.83 | Facility | None | $1,513.56 | $1,513.56 | $2,398.83 |
Aetna Setting Professional Modifier None Typical Low $1,513.56 Median $1,778.28 Typical High $3,981.07 | Professional | None | $1,513.56 | $1,778.28 | $3,981.07 |
Ambetter Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | None | $2,884.03 | $2,884.03 | $2,884.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,630.78 Median $12,589.25 Typical High $13,489.63 | Facility | None | $3,630.78 | $12,589.25 | $13,489.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,995.26 Median $3,162.28 Typical High $11,748.98 | Professional | None | $1,995.26 | $3,162.28 | $11,748.98 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $213.80 Median $467.74 Typical High $2,137.96 | Professional | RR · Rental | $213.80 | $467.74 | $2,137.96 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,621.81 Median $3,548.13 Typical High $16,218.10 | Professional | UE · Used equipment | $1,621.81 | $3,548.13 | $16,218.10 |
CareSource Setting Facility Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Facility | None | $3,090.30 | $3,090.30 | $3,090.30 |
CareSource Setting Professional Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Professional | None | $3,090.30 | $3,090.30 | $3,090.30 |
Cigna Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Facility | None | $2,137.96 | $2,137.96 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $4,897.79 | Professional | None | $1,584.89 | $1,584.89 | $4,897.79 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,570.40 Median $3,630.78 Typical High $5,248.07 | Professional | None | $2,570.40 | $3,630.78 | $5,248.07 |
United Setting Facility Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Facility | None | $1,949.84 | $1,949.84 | $1,949.84 |
United Setting Professional Modifier None Typical Low $1,348.96 Median $1,778.28 Typical High $4,570.88 | Professional | None | $1,348.96 | $1,778.28 | $4,570.88 |
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 $741.31 Median $812.83 Typical High $1,174.90 | Professional | 52 · Reduced service | $741.31 | $812.83 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $323.59 Typical High $467.74 | Professional | 53 · Discontinued | $302.00 | $323.59 | $467.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $223.87 Median $239.88 Typical High $354.81 | Professional | 55 · Aftercare only | $223.87 | $239.88 | $354.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $151.36 Median $162.18 Typical High $234.42 | Professional | 56 · Pre-op care only | $151.36 | $162.18 | $234.42 |
Where Georgia sits
The same service costs 2.6 times more in Wisconsin 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· 18th of 51
$3,020
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.