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 $758.58 Median $758.58 Typical High $1,202.26 | Facility | None | $758.58 | $758.58 | $1,202.26 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $812.83 Typical High $1,174.90 | Professional | None | $758.58 | $812.83 | $1,174.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,862.09 Median $6,456.54 Typical High $6,760.83 | Facility | None | $1,862.09 | $6,456.54 | $6,760.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,023.29 Median $1,621.81 Typical High $6,025.60 | Professional | None | $1,023.29 | $1,621.81 | $6,025.60 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $104.71 Median $234.42 Typical High $1,071.52 | Professional | RR · Rental | $104.71 | $234.42 | $1,071.52 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $794.33 Median $1,737.80 Typical High $7,943.28 | Professional | UE · Used equipment | $794.33 | $1,737.80 | $7,943.28 |
CareSource Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | None | $1,548.82 | $1,548.82 | $1,548.82 |
CareSource Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,548.82 | $1,548.82 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Facility | None | $1,479.11 | $1,479.11 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $2,511.89 | Professional | None | $1,071.52 | $1,071.52 | $2,511.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,288.25 Median $1,862.09 Typical High $3,235.94 | Professional | None | $1,288.25 | $1,862.09 | $3,235.94 |
United Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $1,148.15 | Facility | None | $954.99 | $954.99 | $1,148.15 |
United Setting Professional Modifier None Typical Low $676.08 Median $912.01 Typical High $2,344.23 | Professional | None | $676.08 | $912.01 | $2,344.23 |
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 $380.19 Median $407.38 Typical High $588.84 | Professional | 52 · Reduced service | $380.19 | $407.38 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $162.18 Typical High $234.42 | Professional | 53 · Discontinued | $151.36 | $162.18 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $123.03 Typical High $177.83 | Professional | 55 · Aftercare only | $114.82 | $123.03 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $81.28 Typical High $117.49 | Professional | 56 · Pre-op care only | $75.86 | $81.28 | $117.49 |
Where Georgia sits
The same service costs 2.5 times more in Hawaii than in Rhode Island. 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· 14th of 51
$1,514
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.