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 $19.95 Median $19.95 Typical High $26.30 | Facility | None | $19.95 | $19.95 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $19.95 Typical High $26.30 | Professional | None | $19.50 | $19.95 | $26.30 |
Ambetter Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | None | $16.22 | $16.22 | $16.22 |
Anthem BCBS Setting Professional Modifier None Typical Low $16.60 Median $26.30 Typical High $169.82 | Professional | None | $16.60 | $26.30 | $169.82 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.66 Median $3.80 Typical High $38.02 | Professional | RR · Rental | $1.66 | $3.80 | $38.02 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $12.59 Median $28.18 Typical High $128.82 | Professional | UE · Used equipment | $12.59 | $28.18 | $128.82 |
CareSource Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
CareSource Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None | $31.62 | $31.62 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $18.20 Median $21.88 Typical High $21.88 | Facility | None | $18.20 | $21.88 | $21.88 |
Cigna Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $42.66 | Professional | None | $18.62 | $18.62 | $42.66 |
Kaiser Permanente Setting Professional Modifier None Typical Low $22.39 Median $31.62 Typical High $104.71 | Professional | None | $22.39 | $31.62 | $104.71 |
United Setting Professional Modifier None Typical Low $10.72 Median $15.49 Typical High $43.65 | Professional | None | $10.72 | $15.49 | $43.65 |
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 $2.88 Median $2.95 Typical High $3.89 | Professional | 55 · Aftercare only | $2.88 | $2.95 | $3.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.95 Median $2.00 Typical High $2.63 | Professional | 56 · Pre-op care only | $1.95 | $2.00 | $2.63 |
Where Georgia sits
The same service costs 2.9 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· 19th of 51
$25.12
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.