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 $100.00 Median $100.00 Typical High $104.71 | Facility | None | $100.00 | $100.00 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $104.71 | Professional | None | $100.00 | $100.00 | $104.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $128.82 Median $446.68 Typical High $467.74 | Facility | None | $128.82 | $446.68 | $467.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $100.00 Median $128.82 Typical High $776.25 | Professional | None | $100.00 | $128.82 | $776.25 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $10.47 Median $16.98 Typical High $77.62 | Professional | RR · Rental | $10.47 | $16.98 | $77.62 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $77.62 Median $120.23 Typical High $588.84 | Professional | UE · Used equipment | $77.62 | $120.23 | $588.84 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None | $61.66 | $61.66 | $61.66 |
Kaiser Permanente Setting Professional Modifier None Typical Low $102.33 Median $128.82 Typical High $128.82 | Professional | None | $102.33 | $128.82 | $128.82 |
Oscar Health Setting Facility Modifier None Typical Low $7,079.46 Median $7,079.46 Typical High $10,471.29 | Facility | None | $7,079.46 | $7,079.46 | $10,471.29 |
Oscar Health Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None | $173.78 | $173.78 | $173.78 |
United Setting Professional Modifier None Typical Low $41.69 Median $56.23 Typical High $89.13 | Professional | None | $41.69 | $56.23 | $89.13 |
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 $50.12 Median $50.12 Typical High $52.48 | Professional | 52 · Reduced service | $50.12 | $50.12 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $20.89 | Professional | 53 · Discontinued | $19.95 | $19.95 | $20.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $15.14 Typical High $15.49 | Professional | 55 · Aftercare only | $15.14 | $15.14 | $15.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.00 Median $10.00 Typical High $10.47 | Professional | 56 · Pre-op care only | $10.00 | $10.00 | $10.47 |
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 Minnesota 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· 17th of 51
$110
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.