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 $42.66 Median $42.66 Typical High $44.67 | Facility | None | $42.66 | $42.66 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $44.67 | Professional | None | $42.66 | $42.66 | $44.67 |
Anthem BCBS Setting Facility Modifier None Typical Low $54.95 Median $190.55 Typical High $199.53 | Facility | None | $54.95 | $190.55 | $199.53 |
Anthem BCBS Setting Professional Modifier None Typical Low $40.74 Median $48.98 Typical High $331.13 | Professional | None | $40.74 | $48.98 | $331.13 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $4.47 Median $7.24 Typical High $33.11 | Professional | RR · Rental | $4.47 | $7.24 | $33.11 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $33.11 Median $51.29 Typical High $251.19 | Professional | UE · Used equipment | $33.11 | $51.29 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | None | $26.30 | $26.30 | $26.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $43.65 Median $54.95 Typical High $54.95 | Professional | None | $43.65 | $54.95 | $54.95 |
Oscar Health Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $74.13 | Professional | None | $34.67 | $34.67 | $74.13 |
United Setting Professional Modifier None Typical Low $12.88 Median $23.99 Typical High $38.02 | Professional | None | $12.88 | $23.99 | $38.02 |
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 $21.38 Median $21.38 Typical High $22.39 | Professional | 52 · Reduced service | $21.38 | $21.38 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $8.51 Typical High $8.91 | Professional | 53 · Discontinued | $8.51 | $8.51 | $8.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.46 Median $6.46 Typical High $6.61 | Professional | 55 · Aftercare only | $6.46 | $6.46 | $6.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.27 Median $4.27 Typical High $4.47 | Professional | 56 · Pre-op care only | $4.27 | $4.27 | $4.47 |
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 3.9 times more in Montana than in Alaska. 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· 12th of 51
$47.86
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.