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 $37.15 Median $37.15 Typical High $47.86 | Facility | None | $37.15 | $37.15 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $35.48 Median $37.15 Typical High $46.77 | Professional | None | $35.48 | $37.15 | $46.77 |
Anthem BCBS Setting Professional Modifier None Typical Low $30.20 Median $51.29 Typical High $316.23 | Professional | None | $30.20 | $51.29 | $316.23 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2.88 Median $6.92 Typical High $31.62 | Professional | RR · Rental | $2.88 | $6.92 | $31.62 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $21.88 Median $42.66 Typical High $239.88 | Professional | UE · Used equipment | $21.88 | $42.66 | $239.88 |
CareSource Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
CareSource Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $79.43 | Professional | None | $34.67 | $34.67 | $79.43 |
Kaiser Permanente Setting Professional Modifier None Typical Low $41.69 Median $58.88 Typical High $79.43 | Professional | None | $41.69 | $58.88 | $79.43 |
United Setting Professional Modifier None Typical Low $19.50 Median $28.84 Typical High $67.61 | Professional | None | $19.50 | $28.84 | $67.61 |
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 $5.37 Median $5.50 Typical High $6.92 | Professional | 55 · Aftercare only | $5.37 | $5.50 | $6.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.55 Median $3.72 Typical High $4.68 | Professional | 56 · Pre-op care only | $3.55 | $3.72 | $4.68 |
Where Georgia sits
The same service costs 3.0 times more in Hawaii than in Rhode Island. 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
$47.86
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.