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 $15.14 Median $15.14 Typical High $19.95 | Facility | None | $15.14 | $15.14 | $19.95 |
Aetna Setting Professional Modifier None Typical Low $14.79 Median $15.14 Typical High $19.05 | Professional | None | $14.79 | $15.14 | $19.05 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.02 Median $21.38 Typical High $70.79 | Professional | None | $12.02 | $21.38 | $70.79 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.20 Median $2.45 Typical High $11.22 | Professional | RR · Rental | $1.20 | $2.45 | $11.22 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $9.12 Median $18.20 Typical High $83.18 | Professional | UE · Used equipment | $9.12 | $18.20 | $83.18 |
CareSource Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Facility | None | $20.42 | $20.42 | $20.42 |
CareSource Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | None | $20.42 | $20.42 | $20.42 |
Cigna Setting Facility Modifier None Typical Low $15.85 Median $15.85 Typical High $15.85 | Facility | None | $15.85 | $15.85 | $15.85 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $13.49 Typical High $16.98 | Professional | None | $10.00 | $13.49 | $16.98 |
Kaiser Permanente Setting Professional Modifier None Typical Low $16.98 Median $24.55 Typical High $223.87 | Professional | None | $16.98 | $24.55 | $223.87 |
United Setting Professional Modifier None Typical Low $7.94 Median $12.02 Typical High $28.18 | Professional | None | $7.94 | $12.02 | $28.18 |
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 $2.24 Median $2.29 Typical High $2.88 | Professional | 55 · Aftercare only | $2.24 | $2.29 | $2.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.48 Median $1.51 Typical High $1.91 | Professional | 56 · Pre-op care only | $1.48 | $1.51 | $1.91 |
Where Georgia sits
The same service costs 2.3 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· 14th of 51
$19.05
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.