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 $0.79 Median $0.79 Typical High $0.93 | Facility | None | $0.79 | $0.79 | $0.93 |
Aetna Setting Professional Modifier None Typical Low $0.79 Median $0.93 Typical High $1.20 | Professional | None | $0.79 | $0.93 | $1.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $1.12 Median $2.57 Typical High $5.75 | Facility | None | $1.12 | $2.57 | $5.75 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.15 Median $1.55 Typical High $33.11 | Professional | None | $1.15 | $1.55 | $33.11 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.45 Median $1.45 Typical High $2.29 | Professional | RR · Rental | $1.45 | $1.45 | $2.29 |
Blue Shield Setting Facility Modifier None Typical Low $2.04 Median $3.39 Typical High $4.79 | Facility | None | $2.04 | $3.39 | $4.79 |
Blue Shield Setting Professional Modifier None Typical Low $1.29 Median $1.86 Typical High $3.63 | Professional | None | $1.29 | $1.86 | $3.63 |
Cigna Setting Professional Modifier None Typical Low $2.45 Median $2.45 Typical High $2.45 | Professional | None | $2.45 | $2.45 | $2.45 |
Contra Costa Health Setting Professional Modifier None Typical Low $1.58 Median $1.74 Typical High $1.74 | Professional | None | $1.58 | $1.74 | $1.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1.91 Median $2.51 Typical High $5.89 | Professional | None | $1.91 | $2.51 | $5.89 |
Molina Setting Professional Modifier None Typical Low $2.14 Median $2.14 Typical High $2.14 | Professional | None | $2.14 | $2.14 | $2.14 |
Providence Setting Facility Modifier None Typical Low $0.93 Median $1.45 Typical High $3.98 | Facility | None | $0.93 | $1.45 | $3.98 |
Providence Setting Professional Modifier None Typical Low $1.58 Median $1.58 Typical High $2.45 | Professional | None | $1.58 | $1.58 | $2.45 |
Sutter Health Plus Setting Professional Modifier None Typical Low $3.31 Median $3.31 Typical High $3.31 | Professional | None | $3.31 | $3.31 | $3.31 |
United Setting Professional Modifier None Typical Low $1.05 Median $2.09 Typical High $5.62 | Professional | None | $1.05 | $2.09 | $5.62 |
3 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 $0.12 Median $0.14 Typical High $0.18 | Professional | 55 · Aftercare only | $0.12 | $0.14 | $0.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.08 Median $0.09 Typical High $0.12 | Professional | 56 · Pre-op care only | $0.08 | $0.09 | $0.12 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1.10 Median $1.10 Typical High $1.10 | Professional | UE · Used equipment | $1.10 | $1.10 | $1.10 |
Where California sits
The same service costs 3.4 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.
California· 14th of 51
$2.00
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.