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 $107.15 Median $107.15 Typical High $112.20 | Facility | None | $107.15 | $107.15 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $112.20 | Professional | None | $107.15 | $107.15 | $112.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $134.90 Median $467.74 Typical High $501.19 | Facility | None | $134.90 | $467.74 | $501.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $89.13 Median $123.03 Typical High $831.76 | Professional | None | $89.13 | $123.03 | $831.76 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $10.96 Median $18.20 Typical High $83.18 | Professional | RR · Rental | $10.96 | $18.20 | $83.18 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $83.18 Median $134.90 Typical High $616.60 | Professional | UE · Used equipment | $83.18 | $134.90 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None | $64.57 | $64.57 | $64.57 |
Kaiser Permanente Setting Professional Modifier None Typical Low $109.65 Median $134.90 Typical High $134.90 | Professional | None | $109.65 | $134.90 | $134.90 |
Oscar Health Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None | $181.97 | $181.97 | $181.97 |
United Setting Professional Modifier None Typical Low $44.67 Median $60.26 Typical High $95.50 | Professional | None | $44.67 | $60.26 | $95.50 |
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 $53.70 Median $53.70 Typical High $54.95 | Professional | 52 · Reduced service | $53.70 | $53.70 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $22.39 | Professional | 53 · Discontinued | $21.38 | $21.38 | $22.39 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $15.85 Typical High $16.60 | Professional | 55 · Aftercare only | $15.85 | $15.85 | $16.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $10.72 Typical High $11.22 | Professional | 56 · Pre-op care only | $10.72 | $10.72 | $11.22 |
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 2.4 times more in Montana than in Utah. 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· 21st of 51
$117
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.