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 $1,380.38 Median $1,380.38 Typical High $1,445.44 | Facility | None | $1,380.38 | $1,380.38 | $1,445.44 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $1,380.38 Typical High $1,445.44 | Professional | None | $1,318.26 | $1,380.38 | $1,445.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,737.80 Median $6,025.60 Typical High $6,456.54 | Facility | None | $1,737.80 | $6,025.60 | $6,456.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $977.24 Median $1,584.89 Typical High $9,549.93 | Professional | None | $977.24 | $1,584.89 | $9,549.93 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $144.54 Median $208.93 Typical High $954.99 | Professional | RR · Rental | $144.54 | $208.93 | $954.99 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,071.52 Median $1,584.89 Typical High $7,244.36 | Professional | UE · Used equipment | $1,071.52 | $1,584.89 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,412.54 Median $1,737.80 Typical High $2,884.03 | Professional | None | $1,412.54 | $1,737.80 | $2,884.03 |
United Setting Professional Modifier None Typical Low $575.44 Median $776.25 Typical High $1,174.90 | Professional | None | $575.44 | $776.25 | $1,174.90 |
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 $660.69 Median $691.83 Typical High $707.95 | Professional | 52 · Reduced service | $660.69 | $691.83 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $275.42 Typical High $288.40 | Professional | 53 · Discontinued | $263.03 | $275.42 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $204.17 Typical High $213.80 | Professional | 55 · Aftercare only | $194.98 | $204.17 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $138.04 Typical High $144.54 | Professional | 56 · Pre-op care only | $131.83 | $138.04 | $144.54 |
Where Georgia sits
The same service costs 2.7 times more in Montana than in New Jersey. 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
$1,445
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.