How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $6.92 Median $6.92 Typical High $7.94 | Facility | None | $6.92 | $6.92 | $7.94 |
Aetna Setting Professional Modifier None Typical Low $5.89 Median $6.92 Typical High $8.51 | Professional | None | $5.89 | $6.92 | $8.51 |
Ambetter Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | None | $16.98 | $16.98 | $16.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.61 Median $7.08 Typical High $23.99 | Professional | None | $6.61 | $7.08 | $23.99 |
Cigna Setting Professional Modifier None Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | None | $7.41 | $7.41 | $7.41 |
Kaiser Permanente Setting Professional Modifier None Typical Low $12.02 Median $74.13 Typical High $74.13 | Professional | None | $12.02 | $74.13 | $74.13 |
United Setting Professional Modifier None Typical Low $3.72 Median $5.62 Typical High $18.20 | Professional | None | $3.72 | $5.62 | $18.20 |
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 55 · Aftercare only Typical Low $0.87 Median $1.02 Typical High $1.02 | Professional | 55 · Aftercare only | $0.87 | $1.02 | $1.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.59 Median $0.69 Typical High $0.69 | Professional | 56 · Pre-op care only | $0.59 | $0.69 | $0.69 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.85 Median $1.48 Typical High $2.75 | Professional | RR · Rental | $0.85 | $1.48 | $2.75 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $6.31 Median $12.02 Typical High $20.89 | Professional | UE · Used equipment | $6.31 | $12.02 | $20.89 |
Where Georgia sits
The same service costs 3.2 times more in Minnesota than in Rhode Island. 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· 37th of 51
$7.08
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.