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 $117.49 Median $117.49 Typical High $123.03 | Facility | None | $117.49 | $117.49 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $123.03 | Professional | None | $117.49 | $117.49 | $123.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $151.36 Median $524.81 Typical High $562.34 | Facility | None | $151.36 | $524.81 | $562.34 |
Anthem BCBS Setting Professional Modifier None Typical Low $114.82 Median $134.90 Typical High $912.01 | Professional | None | $114.82 | $134.90 | $912.01 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $12.30 Median $20.42 Typical High $91.20 | Professional | RR · Rental | $12.30 | $20.42 | $91.20 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $93.33 Median $151.36 Typical High $691.83 | Professional | UE · Used equipment | $93.33 | $151.36 | $691.83 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | None | $72.44 | $72.44 | $72.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $120.23 Median $151.36 Typical High $151.36 | Professional | None | $120.23 | $151.36 | $151.36 |
Oscar Health Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None | $204.17 | $204.17 | $204.17 |
United Setting Professional Modifier None Typical Low $48.98 Median $67.61 Typical High $107.15 | Professional | None | $48.98 | $67.61 | $107.15 |
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 $58.88 Median $58.88 Typical High $61.66 | Professional | 52 · Reduced service | $58.88 | $58.88 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.99 Typical High $24.55 | Professional | 53 · Discontinued | $23.44 | $23.99 | $24.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.78 Median $17.78 Typical High $18.62 | Professional | 55 · Aftercare only | $17.78 | $17.78 | $18.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $12.02 Typical High $12.30 | Professional | 56 · Pre-op care only | $11.75 | $12.02 | $12.30 |
United Setting Professional Modifier CD · Dialysis lab test, bundled Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | CD · Dialysis lab test, bundled | $50.12 | $50.12 | $50.12 |
United Setting Professional Modifier CM · 80–99% impaired Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | CM · 80–99% impaired | $70.79 | $70.79 | $70.79 |
United Setting Professional Modifier XC Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | XC | $1,513.56 | $1,513.56 | $1,513.56 |
Where Georgia sits
The same service costs 2.6 times more in Montana than in Ohio. 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· 13th of 51
$132
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.