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 $1.48 Median $1.48 Typical High $1.95 | Facility | None | $1.48 | $1.48 | $1.95 |
Aetna Setting Professional Modifier None Typical Low $1.45 Median $1.48 Typical High $1.74 | Professional | None | $1.45 | $1.48 | $1.74 |
Ambetter Setting Professional Modifier None Typical Low $1.55 Median $1.55 Typical High $1.55 | Professional | None | $1.55 | $1.55 | $1.55 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.26 Median $2.09 Typical High $10.96 | Professional | None | $1.26 | $2.09 | $10.96 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.12 Median $0.24 Typical High $1.10 | Professional | RR · Rental | $0.12 | $0.24 | $1.10 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $0.89 Median $1.78 Typical High $8.13 | Professional | UE · Used equipment | $0.89 | $1.78 | $8.13 |
CareSource Setting Facility Modifier None Typical Low $1.78 Median $1.78 Typical High $1.78 | Facility | None | $1.78 | $1.78 | $1.78 |
CareSource Setting Professional Modifier None Typical Low $1.78 Median $1.78 Typical High $1.78 | Professional | None | $1.78 | $1.78 | $1.78 |
Cigna Setting Facility Modifier None Typical Low $1.41 Median $1.41 Typical High $1.74 | Facility | None | $1.41 | $1.41 | $1.74 |
Cigna Setting Professional Modifier None Typical Low $1.20 Median $1.20 Typical High $2.88 | Professional | None | $1.20 | $1.20 | $2.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1.66 Median $2.40 Typical High $15.49 | Professional | None | $1.66 | $2.40 | $15.49 |
United Setting Professional Modifier None Typical Low $0.78 Median $1.17 Typical High $2.75 | Professional | None | $0.78 | $1.17 | $2.75 |
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 $0.22 Median $0.22 Typical High $0.27 | Professional | 55 · Aftercare only | $0.22 | $0.22 | $0.27 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.14 Median $0.15 Typical High $0.18 | Professional | 56 · Pre-op care only | $0.14 | $0.15 | $0.18 |
Where Georgia sits
The same service costs 5.4 times more in Kansas than in Kentucky. 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
$1.95
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.