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 $9.12 Median $9.12 Typical High $9.33 | Facility | None | $9.12 | $9.12 | $9.33 |
Aetna Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $9.33 | Professional | None | $9.12 | $9.12 | $9.33 |
Ambetter Setting Professional Modifier None Typical Low $6.17 Median $6.17 Typical High $6.17 | Professional | None | $6.17 | $6.17 | $6.17 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.22 Median $38.90 Typical High $40.74 | Facility | None | $11.22 | $38.90 | $40.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.68 Median $9.33 Typical High $23.44 | Professional | None | $4.68 | $9.33 | $23.44 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.85 Median $1.02 Typical High $5.25 | Professional | RR · Rental | $0.85 | $1.02 | $5.25 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $6.46 Median $7.76 Typical High $38.90 | Professional | UE · Used equipment | $6.46 | $7.76 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $5.13 Median $5.13 Typical High $5.13 | Professional | None | $5.13 | $5.13 | $5.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $9.55 Median $10.23 Typical High $12.59 | Professional | None | $9.55 | $10.23 | $12.59 |
United Setting Professional Modifier None Typical Low $4.37 Median $11.22 Typical High $20.42 | Professional | None | $4.37 | $11.22 | $20.42 |
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 $1.38 Median $1.38 Typical High $1.41 | Professional | 55 · Aftercare only | $1.38 | $1.38 | $1.41 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.91 Median $0.91 Typical High $0.93 | Professional | 56 · Pre-op care only | $0.91 | $0.91 | $0.93 |
Where Georgia sits
The same service costs 4.7 times more in Florida 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· 28th of 51
$9.33
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.