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 $0.26 Median $0.26 Typical High $0.31 | Facility | None | $0.26 | $0.26 | $0.31 |
Aetna Setting Professional Modifier None Typical Low $0.23 Median $0.26 Typical High $0.26 | Professional | None | $0.23 | $0.26 | $0.26 |
Ambetter Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $22.91 | Professional | None | $6.03 | $6.03 | $22.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.17 Median $0.27 Typical High $0.81 | Professional | None | $0.17 | $0.27 | $0.81 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $0.13 Median $0.21 Typical High $0.52 | Professional | UE · Used equipment | $0.13 | $0.21 | $0.52 |
CareSource Setting Facility Modifier None Typical Low $0.23 Median $0.26 Typical High $0.27 | Facility | None | $0.23 | $0.26 | $0.27 |
CareSource Setting Professional Modifier None Typical Low $0.26 Median $0.34 Typical High $0.42 | Professional | None | $0.26 | $0.34 | $0.42 |
Cigna Setting Facility Modifier None Typical Low $0.19 Median $0.20 Typical High $0.20 | Facility | None | $0.19 | $0.20 | $0.20 |
Cigna Setting Professional Modifier None Typical Low $0.17 Median $0.17 Typical High $0.20 | Professional | None | $0.17 | $0.17 | $0.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $0.17 Median $0.34 Typical High $1.00 | Professional | None | $0.17 | $0.34 | $1.00 |
United Setting Professional Modifier None Typical Low $0.11 Median $0.17 Typical High $0.40 | Professional | None | $0.11 | $0.17 | $0.40 |
8 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier AU · Urologic/ostomy supply Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | AU · Urologic/ostomy supply | $16.98 | $16.98 | $16.98 |
Anthem BCBS Setting Professional Modifier AU · Urologic/ostomy supply Typical Low $0.26 Median $0.42 Typical High $1.58 | Professional | AU · Urologic/ostomy supply | $0.26 | $0.42 | $1.58 |
Anthem BCBS Setting Professional Modifier AV · With prosthetic/orthotic Typical Low $0.27 Median $0.43 Typical High $0.63 | Professional | AV · With prosthetic/orthotic | $0.27 | $0.43 | $0.63 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.03 Median $0.03 Typical High $0.08 | Professional | RR · Rental | $0.03 | $0.03 | $0.08 |
Cigna Setting Professional Modifier AU · Urologic/ostomy supply Typical Low $0.41 Median $0.46 Typical High $0.46 | Professional | AU · Urologic/ostomy supply | $0.41 | $0.46 | $0.46 |
Cigna Setting Professional Modifier AV · With prosthetic/orthotic Typical Low $0.39 Median $0.43 Typical High $0.43 | Professional | AV · With prosthetic/orthotic | $0.39 | $0.43 | $0.43 |
Kaiser Permanente Setting Professional Modifier AU · Urologic/ostomy supply Typical Low $0.25 Median $0.35 Typical High $0.41 | Professional | AU · Urologic/ostomy supply | $0.25 | $0.35 | $0.41 |
Kaiser Permanente Setting Professional Modifier AV · With prosthetic/orthotic Typical Low $0.23 Median $0.33 Typical High $0.40 | Professional | AV · With prosthetic/orthotic | $0.23 | $0.33 | $0.40 |
Where Georgia sits
The same service costs 2.7 times more in Arkansas than in Utah. 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
$0.23
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.