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 $4.17 Median $4.17 Typical High $5.50 | Facility | None | $4.17 | $4.17 | $5.50 |
Aetna Setting Professional Modifier None Typical Low $3.98 Median $4.17 Typical High $4.90 | Professional | None | $3.98 | $4.17 | $4.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.82 Median $5.89 Typical High $30.90 | Professional | None | $2.82 | $5.89 | $30.90 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.28 Median $0.68 Typical High $3.02 | Professional | RR · Rental | $0.28 | $0.68 | $3.02 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2.09 Median $5.01 Typical High $22.91 | Professional | UE · Used equipment | $2.09 | $5.01 | $22.91 |
CareSource Setting Facility Modifier None Typical Low $4.79 Median $4.79 Typical High $4.79 | Facility | None | $4.79 | $4.79 | $4.79 |
CareSource Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $4.79 | Professional | None | $4.79 | $4.79 | $4.79 |
Cigna Setting Facility Modifier None Typical Low $3.98 Median $3.98 Typical High $3.98 | Facility | None | $3.98 | $3.98 | $3.98 |
Cigna Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $7.94 | Professional | None | $3.39 | $3.39 | $7.94 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4.68 Median $6.76 Typical High $9.55 | Professional | None | $4.68 | $6.76 | $9.55 |
United Setting Professional Modifier None Typical Low $2.19 Median $3.31 Typical High $9.12 | Professional | None | $2.19 | $3.31 | $9.12 |
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 $0.62 Median $0.63 Typical High $0.74 | Professional | 55 · Aftercare only | $0.62 | $0.63 | $0.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.41 Median $0.42 Typical High $0.49 | Professional | 56 · Pre-op care only | $0.41 | $0.42 | $0.49 |
Where Georgia sits
The same service costs 2.2 times more in Minnesota 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· 12th of 51
$5.50
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.