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 $28.18 Median $28.18 Typical High $32.36 | Facility | None | $28.18 | $28.18 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $28.18 Median $30.20 Typical High $38.02 | Professional | None | $28.18 | $30.20 | $38.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $61.66 Median $213.80 Typical High $229.09 | Facility | None | $61.66 | $213.80 | $229.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $39.81 Median $57.54 Typical High $281.84 | Professional | None | $39.81 | $57.54 | $281.84 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $4.07 Median $6.17 Typical High $28.18 | Professional | RR · Rental | $4.07 | $6.17 | $28.18 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $30.90 Median $46.77 Typical High $208.93 | Professional | UE · Used equipment | $30.90 | $46.77 | $208.93 |
CareSource Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
CareSource Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $69.18 | Professional | None | $51.29 | $51.29 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $50.12 | Facility | None | $40.74 | $40.74 | $50.12 |
Cigna Setting Facility Modifier RR · Rental Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | RR · Rental | $40.74 | $40.74 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $81.28 | Professional | None | $34.67 | $34.67 | $81.28 |
Kaiser Permanente Setting Professional Modifier None Typical Low $41.69 Median $61.66 Typical High $74.13 | Professional | None | $41.69 | $61.66 | $74.13 |
United Setting Professional Modifier None Typical Low $21.38 Median $42.66 Typical High $93.33 | Professional | None | $21.38 | $42.66 | $93.33 |
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 $4.27 Median $4.27 Typical High $5.62 | Professional | 55 · Aftercare only | $4.27 | $4.27 | $5.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.82 Median $2.82 Typical High $3.80 | Professional | 56 · Pre-op care only | $2.82 | $2.82 | $3.80 |
Where Georgia sits
The same service costs 2.6 times more in Wyoming than in Kentucky. 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· 16th of 51
$53.70
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.