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 $16.98 Median $16.98 Typical High $17.38 | Facility | None | $16.98 | $16.98 | $17.38 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $20.42 | Professional | None | $16.98 | $16.98 | $20.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $18.62 Median $64.57 Typical High $69.18 | Facility | None | $18.62 | $64.57 | $69.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.48 Median $16.60 Typical High $43.65 | Professional | None | $11.48 | $16.60 | $43.65 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.35 Median $1.74 Typical High $9.12 | Professional | RR · Rental | $1.35 | $1.74 | $9.12 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $10.00 Median $12.88 Typical High $67.61 | Professional | UE · Used equipment | $10.00 | $12.88 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | None | $16.98 | $16.98 | $16.98 |
Kaiser Permanente Setting Professional Modifier None Typical Low $15.85 Median $21.38 Typical High $30.90 | Professional | None | $15.85 | $21.38 | $30.90 |
United Setting Professional Modifier None Typical Low $7.24 Median $28.18 Typical High $36.31 | Professional | None | $7.24 | $28.18 | $36.31 |
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 $2.51 Median $2.51 Typical High $3.02 | Professional | 55 · Aftercare only | $2.51 | $2.51 | $3.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.70 Median $1.70 Typical High $2.04 | Professional | 56 · Pre-op care only | $1.70 | $1.70 | $2.04 |
Where Georgia sits
The same service costs 3.5 times more in Florida than in Alabama. 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· 39th of 51
$16.98
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.