How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $8.71 Median $8.71 Typical High $10.00 | Facility | None | $8.71 | $8.71 | $10.00 |
Aetna Setting Professional Modifier None Typical Low $7.41 Median $8.71 Typical High $8.71 | Professional | None | $7.41 | $8.71 | $8.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.71 Median $10.47 Typical High $20.42 | Professional | None | $8.71 | $10.47 | $20.42 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | None | $9.33 | $9.33 | $9.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $11.75 Median $23.99 Typical High $45.71 | Professional | None | $11.75 | $23.99 | $45.71 |
United Setting Professional Modifier None Typical Low $4.79 Median $9.33 Typical High $22.91 | Professional | None | $4.79 | $9.33 | $22.91 |
4 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 $1.12 Median $1.32 Typical High $1.32 | Professional | 55 · Aftercare only | $1.12 | $1.32 | $1.32 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.76 Median $0.87 Typical High $0.87 | Professional | 56 · Pre-op care only | $0.76 | $0.87 | $0.87 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.07 Median $2.00 Typical High $17.38 | Professional | RR · Rental | $1.07 | $2.00 | $17.38 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1.86 Median $8.13 Typical High $15.14 | Professional | UE · Used equipment | $1.86 | $8.13 | $15.14 |
Where Georgia sits
The same service costs 95.5 times more in New York 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· 22nd of 51
$9.77
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.