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 $14.13 Median $14.13 Typical High $18.62 | Facility | None | $14.13 | $14.13 | $18.62 |
Aetna Setting Professional Modifier None Typical Low $13.80 Median $14.13 Typical High $18.62 | Professional | None | $13.80 | $14.13 | $18.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.48 Median $19.95 Typical High $120.23 | Professional | None | $11.48 | $19.95 | $120.23 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.10 Median $2.63 Typical High $12.02 | Professional | RR · Rental | $1.10 | $2.63 | $12.02 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $8.13 Median $15.49 Typical High $89.13 | Professional | UE · Used equipment | $8.13 | $15.49 | $89.13 |
CareSource Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Facility | None | $21.88 | $21.88 | $21.88 |
CareSource Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | None | $21.88 | $21.88 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $15.49 | Facility | None | $15.49 | $15.49 | $15.49 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $30.90 | Professional | None | $13.18 | $13.18 | $30.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $16.22 Median $22.91 Typical High $109.65 | Professional | None | $16.22 | $22.91 | $109.65 |
United Setting Professional Modifier None Typical Low $7.59 Median $11.22 Typical High $26.30 | Professional | None | $7.59 | $11.22 | $26.30 |
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 $2.09 Median $2.14 Typical High $2.82 | Professional | 55 · Aftercare only | $2.09 | $2.14 | $2.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.38 Median $1.45 Typical High $1.86 | Professional | 56 · Pre-op care only | $1.38 | $1.45 | $1.86 |
Where Georgia sits
The same service costs 3.5 times more in Hawaii than in Connecticut. 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· 18th of 51
$18.62
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.