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 $331.13 Median $331.13 Typical High $338.84 | Facility | None | $331.13 | $331.13 | $338.84 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $338.84 | Professional | None | $331.13 | $331.13 | $338.84 |
Ambetter Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None | $309.03 | $309.03 | $309.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $407.38 Median $1,412.54 Typical High $1,479.11 | Facility | None | $407.38 | $1,412.54 | $1,479.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $158.49 Median $338.84 Typical High $891.25 | Professional | None | $158.49 | $338.84 | $891.25 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $30.90 Median $37.15 Typical High $190.55 | Professional | RR · Rental | $30.90 | $37.15 | $190.55 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $234.42 Median $295.12 Typical High $1,412.54 | Professional | UE · Used equipment | $234.42 | $295.12 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None | $169.82 | $169.82 | $169.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $346.74 Median $389.05 Typical High $457.09 | Professional | None | $346.74 | $389.05 | $457.09 |
United Setting Professional Modifier None Typical Low $158.49 Median $407.38 Typical High $741.31 | Professional | None | $158.49 | $407.38 | $741.31 |
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 $50.12 Median $50.12 Typical High $51.29 | Professional | 55 · Aftercare only | $50.12 | $50.12 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $33.11 Typical High $33.88 | Professional | 56 · Pre-op care only | $33.11 | $33.11 | $33.88 |
Where Georgia sits
The same service costs 3.2 times more in Iowa than in New York. 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· 25th of 51
$339
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.