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 $0.33 Median $0.33 Typical High $0.33 | Facility | None | $0.33 | $0.33 | $0.33 |
Aetna Setting Professional Modifier None Typical Low $0.33 Median $0.33 Typical High $0.34 | Professional | None | $0.33 | $0.33 | $0.34 |
Anthem BCBS Setting Facility Modifier None Typical Low $0.83 Median $0.95 Typical High $1.12 | Facility | None | $0.83 | $0.95 | $1.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.79 Median $0.79 Typical High $1.17 | Professional | None | $0.79 | $0.79 | $1.17 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.12 Median $1.12 Typical High $4.68 | Professional | RR · Rental | $1.12 | $1.12 | $4.68 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $0.83 Median $0.83 Typical High $0.83 | Professional | UE · Used equipment | $0.83 | $0.83 | $0.83 |
Blue Shield Setting Professional Modifier None Typical Low $0.81 Median $1.15 Typical High $1.74 | Professional | None | $0.81 | $1.15 | $1.74 |
Cigna Setting Professional Modifier None Typical Low $0.42 Median $0.42 Typical High $0.42 | Professional | None | $0.42 | $0.42 | $0.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1.00 Median $1.00 Typical High $3.98 | Professional | None | $1.00 | $1.00 | $3.98 |
Molina Setting Professional Modifier None Typical Low $2.40 Median $2.40 Typical High $2.40 | Professional | None | $2.40 | $2.40 | $2.40 |
Providence Setting Facility Modifier None Typical Low $0.33 Median $0.47 Typical High $1.07 | Facility | None | $0.33 | $0.47 | $1.07 |
Providence Setting Professional Modifier None Typical Low $0.42 Median $0.42 Typical High $0.42 | Professional | None | $0.42 | $0.42 | $0.42 |
United Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $3.39 | Professional | None | $3.39 | $3.39 | $3.39 |
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 $0.05 Median $0.05 Typical High $0.05 | Professional | 55 · Aftercare only | $0.05 | $0.05 | $0.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.03 Median $0.03 Typical High $0.03 | Professional | 56 · Pre-op care only | $0.03 | $0.03 | $0.03 |
Where California sits
The same service costs 239.9 times more in Montana 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.
California· 27th of 51
$0.81
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.