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 $13.18 Median $13.18 Typical High $17.38 | Facility | None | $13.18 | $13.18 | $17.38 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $13.18 Typical High $16.60 | Professional | None | $12.59 | $13.18 | $16.60 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.33 Median $18.20 Typical High $95.50 | Professional | None | $9.33 | $18.20 | $95.50 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.93 Median $2.09 Typical High $9.55 | Professional | RR · Rental | $0.93 | $2.09 | $9.55 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $7.08 Median $15.85 Typical High $72.44 | Professional | UE · Used equipment | $7.08 | $15.85 | $72.44 |
CareSource Setting Facility Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Facility | None | $17.78 | $17.78 | $17.78 |
CareSource Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None | $17.78 | $17.78 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $8.91 Median $12.30 Typical High $12.30 | Facility | None | $8.91 | $12.30 | $12.30 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $28.18 | Professional | None | $10.47 | $10.47 | $28.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $14.79 Median $20.89 Typical High $91.20 | Professional | None | $14.79 | $20.89 | $91.20 |
United Setting Professional Modifier None Typical Low $6.92 Median $10.23 Typical High $28.84 | Professional | None | $6.92 | $10.23 | $28.84 |
2 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 $1.91 Median $1.95 Typical High $2.45 | Professional | 55 · Aftercare only | $1.91 | $1.95 | $2.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.29 Median $1.32 Typical High $1.66 | Professional | 56 · Pre-op care only | $1.29 | $1.32 | $1.66 |
Where Georgia sits
The same service costs 3.0 times more in Hawaii 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· 12th of 51
$17.38
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.