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 $10.47 Median $10.47 Typical High $13.80 | Facility | None | $10.47 | $10.47 | $13.80 |
Aetna Setting Professional Modifier None Typical Low $10.23 Median $10.47 Typical High $11.75 | Professional | None | $10.23 | $10.47 | $11.75 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.59 Median $14.79 Typical High $77.62 | Professional | None | $7.59 | $14.79 | $77.62 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.71 Median $1.62 Typical High $7.76 | Professional | RR · Rental | $0.71 | $1.62 | $7.76 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $5.37 Median $12.59 Typical High $57.54 | Professional | UE · Used equipment | $5.37 | $12.59 | $57.54 |
CareSource Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Facility | None | $12.02 | $12.02 | $12.02 |
CareSource Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | None | $12.02 | $12.02 | $12.02 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Facility | None | $10.00 | $10.00 | $10.00 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $20.42 | Professional | None | $8.51 | $8.51 | $20.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $11.75 Median $16.98 Typical High $22.91 | Professional | None | $11.75 | $16.98 | $22.91 |
United Setting Professional Modifier None Typical Low $5.50 Median $8.32 Typical High $19.50 | Professional | None | $5.50 | $8.32 | $19.50 |
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 $1.55 Median $1.58 Typical High $1.78 | Professional | 55 · Aftercare only | $1.55 | $1.58 | $1.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.02 Median $1.05 Typical High $1.17 | Professional | 56 · Pre-op care only | $1.02 | $1.05 | $1.17 |
Where Georgia sits
The same service costs 2.3 times more in Montana 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· 10th of 51
$13.80
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.