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 $58.88 Median $58.88 Typical High $60.26 | Facility | None | $58.88 | $58.88 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $60.26 | Professional | None | $58.88 | $58.88 | $60.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $74.13 Median $257.04 Typical High $275.42 | Facility | None | $74.13 | $257.04 | $275.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $41.69 Median $67.61 Typical High $457.09 | Professional | None | $41.69 | $67.61 | $457.09 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $5.62 Median $10.00 Typical High $45.71 | Professional | RR · Rental | $5.62 | $10.00 | $45.71 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $41.69 Median $74.13 Typical High $338.84 | Professional | UE · Used equipment | $41.69 | $74.13 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $60.26 Median $74.13 Typical High $134.90 | Professional | None | $60.26 | $74.13 | $134.90 |
United Setting Professional Modifier None Typical Low $24.55 Median $33.11 Typical High $54.95 | Professional | None | $24.55 | $33.11 | $54.95 |
4 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 $29.51 Median $29.51 Typical High $30.20 | Professional | 52 · Reduced service | $29.51 | $29.51 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $11.75 Typical High $12.30 | Professional | 53 · Discontinued | $11.75 | $11.75 | $12.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $8.71 Typical High $9.12 | Professional | 55 · Aftercare only | $8.71 | $8.71 | $9.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.89 Median $5.89 Typical High $6.03 | Professional | 56 · Pre-op care only | $5.89 | $5.89 | $6.03 |
Where Georgia sits
The same service costs 2.8 times more in Montana than in Alabama. 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
$60.26
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.