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 $20.42 Median $20.42 Typical High $31.62 | Facility | None | $20.42 | $20.42 | $31.62 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $20.42 Typical High $26.92 | Professional | None | $19.95 | $20.42 | $26.92 |
Ambetter Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.85 Median $28.84 Typical High $165.96 | Professional | None | $15.85 | $28.84 | $165.96 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.58 Median $3.63 Typical High $16.60 | Professional | RR · Rental | $1.58 | $3.63 | $16.60 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $12.02 Median $26.92 Typical High $123.03 | Professional | UE · Used equipment | $12.02 | $26.92 | $123.03 |
CareSource Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
CareSource Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $21.38 Typical High $21.38 | Facility | None | $12.59 | $21.38 | $21.38 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $44.67 | Professional | None | $18.20 | $18.20 | $44.67 |
Kaiser Permanente Setting Professional Modifier None Typical Low $23.44 Median $33.11 Typical High $102.33 | Professional | None | $23.44 | $33.11 | $102.33 |
United Setting Professional Modifier None Typical Low $10.96 Median $16.22 Typical High $45.71 | Professional | None | $10.96 | $16.22 | $45.71 |
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 $3.02 Median $3.09 Typical High $4.07 | Professional | 55 · Aftercare only | $3.02 | $3.09 | $4.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.00 Median $2.04 Typical High $2.69 | Professional | 56 · Pre-op care only | $2.00 | $2.04 | $2.69 |
Where Georgia sits
The same service costs 2.6 times more in Hawaii than in New Hampshire. 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· 16th of 51
$26.92
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.