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 $12.59 Median $12.59 Typical High $12.88 | Facility | None | $12.59 | $12.59 | $12.88 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $14.79 | Professional | None | $12.59 | $12.59 | $14.79 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.80 Median $47.86 Typical High $50.12 | Facility | None | $13.80 | $47.86 | $50.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.91 Median $12.02 Typical High $33.11 | Professional | None | $8.91 | $12.02 | $33.11 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.98 Median $1.26 Typical High $6.46 | Professional | RR · Rental | $0.98 | $1.26 | $6.46 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $7.41 Median $9.55 Typical High $48.98 | Professional | UE · Used equipment | $7.41 | $9.55 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | None | $14.45 | $14.45 | $14.45 |
Kaiser Permanente Setting Professional Modifier None Typical Low $11.75 Median $15.49 Typical High $22.39 | Professional | None | $11.75 | $15.49 | $22.39 |
United Setting Professional Modifier None Typical Low $5.37 Median $20.42 Typical High $26.92 | Professional | None | $5.37 | $20.42 | $26.92 |
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 $1.86 Median $1.86 Typical High $2.24 | Professional | 55 · Aftercare only | $1.86 | $1.86 | $2.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.26 Median $1.26 Typical High $1.48 | Professional | 56 · Pre-op care only | $1.26 | $1.26 | $1.48 |
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
$12.59
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.