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 $7.24 Median $7.24 Typical High $9.33 | Facility | None | $7.24 | $7.24 | $9.33 |
Aetna Setting Professional Modifier None Typical Low $6.92 Median $7.24 Typical High $9.33 | Professional | None | $6.92 | $7.24 | $9.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.37 Median $10.00 Typical High $57.54 | Professional | None | $5.37 | $10.00 | $57.54 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.54 Median $1.26 Typical High $5.75 | Professional | RR · Rental | $0.54 | $1.26 | $5.75 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $3.98 Median $9.33 Typical High $43.65 | Professional | UE · Used equipment | $3.98 | $9.33 | $43.65 |
CareSource Setting Facility Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Facility | None | $10.47 | $10.47 | $10.47 |
CareSource Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | None | $10.47 | $10.47 | $10.47 |
Cigna Setting Facility Modifier None Typical Low $5.89 Median $5.89 Typical High $5.89 | Facility | None | $5.89 | $5.89 | $5.89 |
Cigna Setting Professional Modifier None Typical Low $5.01 Median $5.13 Typical High $8.71 | Professional | None | $5.01 | $5.13 | $8.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $8.13 Median $11.48 Typical High $181.97 | Professional | None | $8.13 | $11.48 | $181.97 |
United Setting Professional Modifier None Typical Low $3.80 Median $5.62 Typical High $15.85 | Professional | None | $3.80 | $5.62 | $15.85 |
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 $1.05 Median $1.07 Typical High $1.41 | Professional | 55 · Aftercare only | $1.05 | $1.07 | $1.41 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.71 Median $0.72 Typical High $0.93 | Professional | 56 · Pre-op care only | $0.71 | $0.72 | $0.93 |
Where Georgia sits
The same service costs 2.7 times more in Hawaii than in Vermont. 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· 17th of 51
$9.33
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.