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 $1.91 Median $1.91 Typical High $1.95 | Facility | None | $1.91 | $1.91 | $1.95 |
Aetna Setting Professional Modifier None Typical Low $1.91 Median $1.91 Typical High $2.24 | Professional | None | $1.91 | $1.91 | $2.24 |
Anthem BCBS Setting Facility Modifier None Typical Low $2.04 Median $7.08 Typical High $7.59 | Facility | None | $2.04 | $7.08 | $7.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.29 Median $1.86 Typical High $9.55 | Professional | None | $1.29 | $1.86 | $9.55 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.15 Median $0.18 Typical High $0.95 | Professional | RR · Rental | $0.15 | $0.18 | $0.95 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1.17 Median $1.58 Typical High $3.72 | Professional | UE · Used equipment | $1.17 | $1.58 | $3.72 |
Cigna Setting Professional Modifier None Typical Low $1.17 Median $1.70 Typical High $1.70 | Professional | None | $1.17 | $1.70 | $1.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1.74 Median $2.29 Typical High $3.39 | Professional | None | $1.74 | $2.29 | $3.39 |
United Setting Professional Modifier None Typical Low $0.79 Median $3.09 Typical High $4.17 | Professional | None | $0.79 | $3.09 | $4.17 |
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 $0.28 Median $0.28 Typical High $0.34 | Professional | 55 · Aftercare only | $0.28 | $0.28 | $0.34 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.19 Median $0.19 Typical High $0.23 | Professional | 56 · Pre-op care only | $0.19 | $0.19 | $0.23 |
Where Georgia sits
The same service costs 33.1 times more in Kansas 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· 32nd of 51
$1.95
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.