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 $288.40 Median $288.40 Typical High $457.09 | Facility | None | $288.40 | $288.40 | $457.09 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $309.03 Typical High $436.52 | Professional | None | $288.40 | $309.03 | $436.52 |
Anthem BCBS Setting Facility Modifier None Typical Low $707.95 Median $2,454.71 Typical High $2,570.40 | Facility | None | $707.95 | $2,454.71 | $2,570.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $389.05 Median $575.44 Typical High $1,995.26 | Professional | None | $389.05 | $575.44 | $1,995.26 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $41.69 Median $93.33 Typical High $426.58 | Professional | RR · Rental | $41.69 | $93.33 | $426.58 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $316.23 Median $707.95 Typical High $3,235.94 | Professional | UE · Used equipment | $316.23 | $707.95 | $3,235.94 |
CareSource Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
CareSource Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | None | $588.84 | $588.84 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $954.99 | Professional | None | $316.23 | $316.23 | $954.99 |
Kaiser Permanente Setting Professional Modifier None Typical Low $489.78 Median $707.95 Typical High $1,288.25 | Professional | None | $489.78 | $707.95 | $1,288.25 |
United Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $346.74 | Facility | None | $257.04 | $257.04 | $346.74 |
United Setting Professional Modifier None Typical Low $269.15 Median $346.74 Typical High $891.25 | Professional | None | $269.15 | $346.74 | $891.25 |
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 $144.54 Median $154.88 Typical High $218.78 | Professional | 52 · Reduced service | $144.54 | $154.88 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $61.66 Typical High $87.10 | Professional | 53 · Discontinued | $57.54 | $61.66 | $87.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $46.77 Typical High $66.07 | Professional | 55 · Aftercare only | $43.65 | $46.77 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $30.90 Typical High $43.65 | Professional | 56 · Pre-op care only | $28.84 | $30.90 | $43.65 |
Where Georgia sits
The same service costs 2.8 times more in Montana 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· 21st 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.