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 $58.88 Median $58.88 Typical High $61.66 | Facility | None | $58.88 | $58.88 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $61.66 | Professional | None | $58.88 | $58.88 | $61.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $75.86 Median $263.03 Typical High $275.42 | Facility | None | $75.86 | $263.03 | $275.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $56.23 Median $67.61 Typical High $436.52 | Professional | None | $56.23 | $67.61 | $436.52 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $6.17 Median $9.55 Typical High $43.65 | Professional | RR · Rental | $6.17 | $9.55 | $43.65 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $45.71 Median $70.79 Typical High $323.59 | Professional | UE · Used equipment | $45.71 | $70.79 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
Kaiser Permanente Setting Professional Modifier None Typical Low $60.26 Median $75.86 Typical High $75.86 | Professional | None | $60.26 | $75.86 | $75.86 |
Oscar Health Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $102.33 | Professional | None | $34.67 | $34.67 | $102.33 |
United Setting Professional Modifier None Typical Low $12.88 Median $33.11 Typical High $50.12 | Professional | None | $12.88 | $33.11 | $50.12 |
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 $29.51 Median $29.51 Typical High $30.90 | Professional | 52 · Reduced service | $29.51 | $29.51 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $11.75 Typical High $12.30 | Professional | 53 · Discontinued | $11.75 | $11.75 | $12.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.91 Median $8.91 Typical High $9.33 | Professional | 55 · Aftercare only | $8.91 | $8.91 | $9.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.89 Median $5.89 Typical High $6.17 | Professional | 56 · Pre-op care only | $5.89 | $5.89 | $6.17 |
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 2.9 times more in Montana than in Nebraska. 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· 8th of 51
$66.07
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.