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 $13.49 Median $13.49 Typical High $17.78 | Facility | None | $13.49 | $13.49 | $17.78 |
Aetna Setting Professional Modifier None Typical Low $13.18 Median $13.49 Typical High $17.78 | Professional | None | $13.18 | $13.49 | $17.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.72 Median $17.78 Typical High $117.49 | Professional | None | $10.72 | $17.78 | $117.49 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.07 Median $2.57 Typical High $25.70 | Professional | RR · Rental | $1.07 | $2.57 | $25.70 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $8.13 Median $19.50 Typical High $87.10 | Professional | UE · Used equipment | $8.13 | $19.50 | $87.10 |
CareSource Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
CareSource Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | None | $20.89 | $20.89 | $20.89 |
Cigna Setting Facility Modifier None Typical Low $12.02 Median $15.14 Typical High $15.14 | Facility | None | $12.02 | $15.14 | $15.14 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $29.51 | Professional | None | $12.88 | $12.88 | $29.51 |
Kaiser Permanente Setting Professional Modifier None Typical Low $15.14 Median $21.88 Typical High $93.33 | Professional | None | $15.14 | $21.88 | $93.33 |
United Setting Professional Modifier None Typical Low $7.24 Median $10.72 Typical High $29.51 | Professional | None | $7.24 | $10.72 | $29.51 |
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 $2.00 Median $2.04 Typical High $2.69 | Professional | 55 · Aftercare only | $2.00 | $2.04 | $2.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.32 Median $1.35 Typical High $1.78 | Professional | 56 · Pre-op care only | $1.32 | $1.35 | $1.78 |
Where Georgia sits
The same service costs 3.5 times more in Hawaii than in Connecticut. 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· 19th of 51
$17.78
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.