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 $56.23 Median $56.23 Typical High $57.54 | Facility | None | $56.23 | $56.23 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $57.54 | Professional | None | $56.23 | $56.23 | $57.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $69.18 Median $239.88 Typical High $257.04 | Facility | None | $69.18 | $239.88 | $257.04 |
Anthem BCBS Setting Professional Modifier None Typical Low $27.54 Median $60.26 Typical High $151.36 | Professional | None | $27.54 | $60.26 | $151.36 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $5.37 Median $6.46 Typical High $32.36 | Professional | RR · Rental | $5.37 | $6.46 | $32.36 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $39.81 Median $50.12 Typical High $245.47 | Professional | UE · Used equipment | $39.81 | $50.12 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None | $58.88 | $58.88 | $58.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $58.88 Median $66.07 Typical High $77.62 | Professional | None | $58.88 | $66.07 | $77.62 |
United Setting Professional Modifier None Typical Low $26.92 Median $70.79 Typical High $125.89 | Professional | None | $26.92 | $70.79 | $125.89 |
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 $8.51 Median $8.51 Typical High $8.71 | Professional | 55 · Aftercare only | $8.51 | $8.51 | $8.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.62 Median $5.62 Typical High $5.75 | Professional | 56 · Pre-op care only | $5.62 | $5.62 | $5.75 |
Where Georgia sits
The same service costs 5.2 times more in Montana than in Kansas. 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· 30th of 51
$58.88
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.