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 $1,412.54 Median $1,412.54 Typical High $2,238.72 | Facility | None | $1,412.54 | $1,412.54 | $2,238.72 |
Aetna Setting Professional Modifier None Typical Low $1,412.54 Median $1,513.56 Typical High $2,137.96 | Professional | None | $1,412.54 | $1,513.56 | $2,137.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,467.37 Median $12,022.64 Typical High $12,589.25 | Facility | None | $3,467.37 | $12,022.64 | $12,589.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,905.46 Median $3,019.95 Typical High $12,882.50 | Professional | None | $1,905.46 | $3,019.95 | $12,882.50 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $208.93 Median $457.09 Typical High $2,089.30 | Professional | RR · Rental | $208.93 | $457.09 | $2,089.30 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,548.82 Median $3,467.37 Typical High $15,848.93 | Professional | UE · Used equipment | $1,548.82 | $3,467.37 | $15,848.93 |
CareSource Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Facility | None | $2,884.03 | $2,884.03 | $2,884.03 |
CareSource 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 |
Cigna Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Facility | None | $2,398.83 | $2,398.83 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $4,677.35 | Professional | None | $1,737.80 | $1,737.80 | $4,677.35 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,398.83 Median $3,467.37 Typical High $6,309.57 | Professional | None | $2,398.83 | $3,467.37 | $6,309.57 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,698.24 | Facility | None | $1,445.44 | $1,445.44 | $1,698.24 |
United Setting Professional Modifier None Typical Low $1,318.26 Median $1,698.24 Typical High $4,365.16 | Professional | None | $1,318.26 | $1,698.24 | $4,365.16 |
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 $707.95 Median $758.58 Typical High $1,071.52 | Professional | 52 · Reduced service | $707.95 | $758.58 | $1,071.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $302.00 Typical High $426.58 | Professional | 53 · Discontinued | $281.84 | $302.00 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $229.09 Typical High $323.59 | Professional | 55 · Aftercare only | $213.80 | $229.09 | $323.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $151.36 Typical High $213.80 | Professional | 56 · Pre-op care only | $141.25 | $151.36 | $213.80 |
Where Georgia sits
The same service costs 2.2 times more in Arkansas 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· 15th of 51
$2,818
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.