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 $67.61 Median $67.61 Typical High $69.18 | Facility | None | $67.61 | $67.61 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $69.18 | Professional | None | $67.61 | $67.61 | $69.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $83.18 Median $288.40 Typical High $309.03 | Facility | None | $83.18 | $288.40 | $309.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $33.11 Median $72.44 Typical High $181.97 | Professional | None | $33.11 | $72.44 | $181.97 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $6.46 Median $7.59 Typical High $38.90 | Professional | RR · Rental | $6.46 | $7.59 | $38.90 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $47.86 Median $60.26 Typical High $288.40 | Professional | UE · Used equipment | $47.86 | $60.26 | $288.40 |
Cigna Setting Professional Modifier None Typical Low $0.09 Median $0.09 Typical High $0.09 | Professional | None | $0.09 | $0.09 | $0.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $70.79 Median $79.43 Typical High $93.33 | Professional | None | $70.79 | $79.43 | $93.33 |
United Setting Professional Modifier None Typical Low $32.36 Median $85.11 Typical High $151.36 | Professional | None | $32.36 | $85.11 | $151.36 |
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 $10.23 Median $10.23 Typical High $10.47 | Professional | 55 · Aftercare only | $10.23 | $10.23 | $10.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $6.76 Typical High $6.92 | Professional | 56 · Pre-op care only | $6.76 | $6.76 | $6.92 |
Where Georgia sits
The same service costs 5.5 times more in Iowa 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· 26th of 51
$70.79
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.