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 $269.15 Median $269.15 Typical High $426.58 | Facility | None | $269.15 | $269.15 | $426.58 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $288.40 Typical High $426.58 | Professional | None | $269.15 | $288.40 | $426.58 |
Anthem BCBS Setting Facility Modifier None Typical Low $660.69 Median $2,290.87 Typical High $2,398.83 | Facility | None | $660.69 | $2,290.87 | $2,398.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $363.08 Median $575.44 Typical High $3,981.07 | Professional | None | $363.08 | $575.44 | $3,981.07 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $38.90 Median $87.10 Typical High $398.11 | Professional | RR · Rental | $38.90 | $87.10 | $398.11 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $295.12 Median $660.69 Typical High $3,019.95 | Professional | UE · Used equipment | $295.12 | $660.69 | $3,019.95 |
CareSource Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
CareSource Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None | $549.54 | $549.54 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $870.96 | Professional | None | $295.12 | $295.12 | $870.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $457.09 Median $660.69 Typical High $1,202.26 | Professional | None | $457.09 | $660.69 | $1,202.26 |
United Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
United Setting Professional Modifier None Typical Low $251.19 Median $323.59 Typical High $831.76 | Professional | None | $251.19 | $323.59 | $831.76 |
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 $134.90 Median $144.54 Typical High $213.80 | Professional | 52 · Reduced service | $134.90 | $144.54 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $57.54 Typical High $85.11 | Professional | 53 · Discontinued | $53.70 | $57.54 | $85.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $43.65 Typical High $64.57 | Professional | 55 · Aftercare only | $39.81 | $43.65 | $64.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $28.84 Typical High $42.66 | Professional | 56 · Pre-op care only | $26.92 | $28.84 | $42.66 |
Where Georgia sits
The same service costs 2.8 times more in Wisconsin 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· 17th of 51
$537
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.