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 $9.55 Median $9.55 Typical High $9.77 | Facility | None | $9.55 | $9.55 | $9.77 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $9.77 | Professional | None | $9.55 | $9.55 | $9.77 |
Ambetter Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $8.91 | Professional | None | $8.91 | $8.91 | $8.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.48 Median $39.81 Typical High $42.66 | Facility | None | $11.48 | $39.81 | $42.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.57 Median $10.23 Typical High $33.88 | Professional | None | $4.57 | $10.23 | $33.88 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.87 Median $1.07 Typical High $5.37 | Professional | RR · Rental | $0.87 | $1.07 | $5.37 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $6.61 Median $8.91 Typical High $40.74 | Professional | UE · Used equipment | $6.61 | $8.91 | $40.74 |
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 $9.77 Median $11.22 Typical High $12.88 | Professional | None | $9.77 | $11.22 | $12.88 |
United Setting Professional Modifier None Typical Low $4.57 Median $11.75 Typical High $20.89 | Professional | None | $4.57 | $11.75 | $20.89 |
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 $1.41 Median $1.41 Typical High $1.45 | Professional | 55 · Aftercare only | $1.41 | $1.41 | $1.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.95 Median $0.95 Typical High $0.98 | Professional | 56 · Pre-op care only | $0.95 | $0.95 | $0.98 |
Where Georgia sits
The same service costs 4.6 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· 26th of 51
$10.00
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.