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 $40.74 Median $40.74 Typical High $53.70 | Facility | None | $40.74 | $40.74 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $40.74 Typical High $46.77 | Professional | None | $38.90 | $40.74 | $46.77 |
Anthem BCBS Setting Professional Modifier None Typical Low $26.92 Median $56.23 Typical High $295.12 | Professional | None | $26.92 | $56.23 | $295.12 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2.69 Median $6.46 Typical High $29.51 | Professional | RR · Rental | $2.69 | $6.46 | $29.51 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $20.42 Median $48.98 Typical High $223.87 | Professional | UE · Used equipment | $20.42 | $48.98 | $223.87 |
CareSource Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Facility | None | $53.70 | $53.70 | $53.70 |
CareSource Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None | $53.70 | $53.70 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $38.02 Typical High $38.02 | Facility | None | $34.67 | $38.02 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $87.10 | Professional | None | $32.36 | $32.36 | $87.10 |
Kaiser Permanente Setting Professional Modifier None Typical Low $45.71 Median $64.57 Typical High $89.13 | Professional | None | $45.71 | $64.57 | $89.13 |
United Setting Professional Modifier None Typical Low $21.38 Median $31.62 Typical High $89.13 | Professional | None | $21.38 | $31.62 | $89.13 |
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 $5.89 Median $6.03 Typical High $7.08 | Professional | 55 · Aftercare only | $5.89 | $6.03 | $7.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.89 Median $4.07 Typical High $4.68 | Professional | 56 · Pre-op care only | $3.89 | $4.07 | $4.68 |
Where Georgia sits
The same service costs 3.0 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· 14th of 51
$52.48
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.