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 $380.19 Median $380.19 Typical High $616.60 | Facility | None | $380.19 | $380.19 | $616.60 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $398.11 Typical High $575.44 | Professional | None | $380.19 | $398.11 | $575.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $933.25 Median $3,235.94 Typical High $3,467.37 | Facility | None | $933.25 | $3,235.94 | $3,467.37 |
Anthem BCBS Setting Professional Modifier None Typical Low $457.09 Median $812.83 Typical High $3,019.95 | Professional | None | $457.09 | $812.83 | $3,019.95 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $45.71 Median $102.33 Typical High $467.74 | Professional | RR · Rental | $45.71 | $102.33 | $467.74 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $346.74 Median $758.58 Typical High $3,467.37 | Professional | UE · Used equipment | $346.74 | $758.58 | $3,467.37 |
CareSource Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Facility | None | $776.25 | $776.25 | $776.25 |
CareSource Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None | $776.25 | $776.25 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $1,258.93 | Professional | None | $467.74 | $467.74 | $1,258.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $660.69 Median $933.25 Typical High $1,445.44 | Professional | None | $660.69 | $933.25 | $1,445.44 |
United Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | None | $489.78 | $489.78 | $489.78 |
United Setting Professional Modifier None Typical Low $309.03 Median $457.09 Typical High $1,174.90 | Professional | None | $309.03 | $457.09 | $1,174.90 |
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 $190.55 Median $199.53 Typical High $288.40 | Professional | 52 · Reduced service | $190.55 | $199.53 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $79.43 Typical High $117.49 | Professional | 53 · Discontinued | $75.86 | $79.43 | $117.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $58.88 Typical High $87.10 | Professional | 55 · Aftercare only | $57.54 | $58.88 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $39.81 Typical High $57.54 | Professional | 56 · Pre-op care only | $38.02 | $39.81 | $57.54 |
Where Georgia sits
The same service costs 2.7 times more in Hawaii than in Washington, DC. 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· 11th of 51
$759
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.