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 $32.36 Median $32.36 Typical High $33.88 | Facility | None | $32.36 | $32.36 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $33.88 | Professional | None | $32.36 | $32.36 | $33.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $41.69 Median $144.54 Typical High $151.36 | Facility | None | $41.69 | $144.54 | $151.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $30.90 Median $37.15 Typical High $251.19 | Professional | None | $30.90 | $37.15 | $251.19 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $3.39 Median $5.50 Typical High $25.12 | Professional | RR · Rental | $3.39 | $5.50 | $25.12 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $25.70 Median $41.69 Typical High $190.55 | Professional | UE · Used equipment | $25.70 | $41.69 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $33.11 Median $41.69 Typical High $53.70 | Professional | None | $33.11 | $41.69 | $53.70 |
Oscar Health Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $56.23 | Professional | None | $19.95 | $19.95 | $56.23 |
United Setting Professional Modifier None Typical Low $10.96 Median $18.62 Typical High $30.90 | Professional | None | $10.96 | $18.62 | $30.90 |
7 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 $16.22 Median $16.22 Typical High $16.98 | Professional | 52 · Reduced service | $16.22 | $16.22 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.46 Typical High $6.76 | Professional | 53 · Discontinued | $6.46 | $6.46 | $6.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.90 Median $4.90 Typical High $5.13 | Professional | 55 · Aftercare only | $4.90 | $4.90 | $5.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.24 Median $3.24 Typical High $3.39 | Professional | 56 · Pre-op care only | $3.24 | $3.24 | $3.39 |
Oscar Health Setting Professional Modifier GX · Voluntary liability notice Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | GX · Voluntary liability notice | $15.14 | $15.14 | $15.14 |
Oscar Health Setting Professional Modifier LO Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | LO | $30.20 | $30.20 | $30.20 |
Oscar Health Setting Professional Modifier PL · Progressive lenses Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | PL · Progressive lenses | $15.14 | $15.14 | $15.14 |
Where Georgia sits
The same service costs 3.2 times more in Montana than in Indiana. 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· 16th of 51
$36.31
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.