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 $2.14 Median $2.14 Typical High $2.82 | Facility | None | $2.14 | $2.14 | $2.82 |
Aetna Setting Professional Modifier None Typical Low $2.09 Median $2.14 Typical High $2.69 | Professional | None | $2.09 | $2.14 | $2.69 |
Ambetter Setting Professional Modifier None Typical Low $1.74 Median $1.74 Typical High $1.74 | Professional | None | $1.74 | $1.74 | $1.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.78 Median $3.02 Typical High $15.85 | Professional | None | $1.78 | $3.02 | $15.85 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.17 Median $0.35 Typical High $1.58 | Professional | RR · Rental | $0.17 | $0.35 | $1.58 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1.29 Median $2.57 Typical High $11.75 | Professional | UE · Used equipment | $1.29 | $2.57 | $11.75 |
CareSource Setting Facility Modifier None Typical Low $2.88 Median $2.88 Typical High $2.88 | Facility | None | $2.88 | $2.88 | $2.88 |
CareSource Setting Professional Modifier None Typical Low $2.88 Median $2.88 Typical High $2.88 | Professional | None | $2.88 | $2.88 | $2.88 |
Cigna Setting Facility Modifier None Typical Low $1.82 Median $2.04 Typical High $2.04 | Facility | None | $1.82 | $2.04 | $2.04 |
Cigna Setting Professional Modifier None Typical Low $1.74 Median $1.74 Typical High $4.68 | Professional | None | $1.74 | $1.74 | $4.68 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2.40 Median $3.47 Typical High $194.98 | Professional | None | $2.40 | $3.47 | $194.98 |
United Setting Professional Modifier None Typical Low $1.12 Median $1.70 Typical High $3.98 | Professional | None | $1.12 | $1.70 | $3.98 |
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 $0.31 Median $0.32 Typical High $0.41 | Professional | 55 · Aftercare only | $0.31 | $0.32 | $0.41 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.21 Median $0.22 Typical High $0.27 | Professional | 56 · Pre-op care only | $0.21 | $0.22 | $0.27 |
Where Georgia sits
The same service costs 3.8 times more in Kansas than in Alabama. 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· 20th of 51
$2.40
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.