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 $181.97 Median $181.97 Typical High $190.55 | Facility | None | $181.97 | $181.97 | $190.55 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $190.55 | Professional | None | $181.97 | $181.97 | $190.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $229.09 Median $794.33 Typical High $851.14 | Facility | None | $229.09 | $794.33 | $851.14 |
Anthem BCBS Setting Professional Modifier None Typical Low $173.78 Median $208.93 Typical High $1,412.54 | Professional | None | $173.78 | $208.93 | $1,412.54 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $18.62 Median $30.90 Typical High $141.25 | Professional | RR · Rental | $18.62 | $30.90 | $141.25 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $141.25 Median $229.09 Typical High $1,047.13 | Professional | UE · Used equipment | $141.25 | $229.09 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $186.21 Median $229.09 Typical High $234.42 | Professional | None | $186.21 | $229.09 | $234.42 |
Oscar Health Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None | $309.03 | $309.03 | $309.03 |
United Setting Professional Modifier None Typical Low $75.86 Median $102.33 Typical High $162.18 | Professional | None | $75.86 | $102.33 | $162.18 |
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 $91.20 Median $91.20 Typical High $93.33 | Professional | 52 · Reduced service | $91.20 | $91.20 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $38.02 | Professional | 53 · Discontinued | $36.31 | $36.31 | $38.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $26.92 Typical High $28.18 | Professional | 55 · Aftercare only | $26.92 | $26.92 | $28.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $18.20 Typical High $19.05 | Professional | 56 · Pre-op care only | $18.20 | $18.20 | $19.05 |
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 2.5 times more in Alaska 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· 14th of 51
$200
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.