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 $23.99 Median $23.99 Typical High $26.92 | Facility | None | $23.99 | $23.99 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $23.99 Typical High $31.62 | Professional | None | $23.44 | $23.99 | $31.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $17.38 Median $33.88 Typical High $204.17 | Professional | None | $17.38 | $33.88 | $204.17 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.74 Median $4.57 Typical High $20.42 | Professional | RR · Rental | $1.74 | $4.57 | $20.42 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $12.88 Median $33.88 Typical High $154.88 | Professional | UE · Used equipment | $12.88 | $33.88 | $154.88 |
CareSource Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
CareSource Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None | $32.36 | $32.36 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $26.92 Typical High $26.92 | Facility | None | $22.39 | $26.92 | $26.92 |
Cigna Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $51.29 | Professional | None | $22.91 | $22.91 | $51.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $26.92 Median $38.90 Typical High $97.72 | Professional | None | $26.92 | $38.90 | $97.72 |
United Setting Professional Modifier None Typical Low $12.88 Median $19.05 Typical High $52.48 | Professional | None | $12.88 | $19.05 | $52.48 |
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 $3.47 Median $3.63 Typical High $4.57 | Professional | 55 · Aftercare only | $3.47 | $3.63 | $4.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.34 Median $2.40 Typical High $3.02 | Professional | 56 · Pre-op care only | $2.34 | $2.40 | $3.02 |
Where Georgia sits
The same service costs 2.5 times more in Idaho than in Kentucky. 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
$31.62
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.