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 $6.03 Median $6.03 Typical High $7.76 | Facility | None | $6.03 | $6.03 | $7.76 |
Aetna Setting Professional Modifier None Typical Low $5.75 Median $6.03 Typical High $7.59 | Professional | None | $5.75 | $6.03 | $7.59 |
Ambetter Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | None | $6.31 | $6.31 | $6.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.01 Median $7.76 Typical High $47.86 | Professional | None | $5.01 | $7.76 | $47.86 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.48 Median $1.05 Typical High $4.79 | Professional | RR · Rental | $0.48 | $1.05 | $4.79 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $3.63 Median $7.94 Typical High $35.48 | Professional | UE · Used equipment | $3.63 | $7.94 | $35.48 |
CareSource Setting Facility Modifier None Typical Low $8.71 Median $8.71 Typical High $8.71 | Facility | None | $8.71 | $8.71 | $8.71 |
CareSource Setting Professional Modifier None Typical Low $8.71 Median $13.49 Typical High $16.60 | Professional | None | $8.71 | $13.49 | $16.60 |
Cigna Setting Facility Modifier None Typical Low $6.17 Median $6.17 Typical High $6.61 | Facility | None | $6.17 | $6.17 | $6.61 |
Cigna Setting Professional Modifier None Typical Low $5.25 Median $5.25 Typical High $12.88 | Professional | None | $5.25 | $5.25 | $12.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $6.76 Median $9.55 Typical High $173.78 | Professional | None | $6.76 | $9.55 | $173.78 |
United Setting Professional Modifier None Typical Low $3.16 Median $4.68 Typical High $10.96 | Professional | None | $3.16 | $4.68 | $10.96 |
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 $0.87 Median $0.89 Typical High $1.15 | Professional | 55 · Aftercare only | $0.87 | $0.89 | $1.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.58 Median $0.60 Typical High $0.78 | Professional | 56 · Pre-op care only | $0.58 | $0.60 | $0.78 |
Where Georgia sits
The same service costs 2.1 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· 17th of 51
$7.41
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.