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 $64.57 Median $64.57 Typical High $104.71 | Facility | None | $64.57 | $64.57 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $77.62 Typical High $169.82 | Professional | None | $64.57 | $77.62 | $169.82 |
Ambetter Setting Professional Modifier None Typical Low $79.43 Median $120.23 Typical High $302.00 | Professional | None | $79.43 | $120.23 | $302.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $158.49 Median $549.54 Typical High $575.44 | Facility | None | $158.49 | $549.54 | $575.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $89.13 Median $138.04 Typical High $457.09 | Professional | None | $89.13 | $138.04 | $457.09 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $9.33 Median $15.85 Typical High $85.11 | Professional | RR · Rental | $9.33 | $15.85 | $85.11 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $69.18 Median $117.49 Typical High $645.65 | Professional | UE · Used equipment | $69.18 | $117.49 | $645.65 |
CareSource Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
CareSource Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None | $131.83 | $131.83 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $213.80 | Professional | None | $72.44 | $72.44 | $213.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $112.20 Median $158.49 Typical High $223.87 | Professional | None | $112.20 | $158.49 | $223.87 |
United Setting Professional Modifier None Typical Low $53.70 Median $77.62 Typical High $199.53 | Professional | None | $53.70 | $77.62 | $199.53 |
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 $9.77 Median $10.23 Typical High $14.79 | Professional | 55 · Aftercare only | $9.77 | $10.23 | $14.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.46 Median $6.76 Typical High $9.77 | Professional | 56 · Pre-op care only | $6.46 | $6.76 | $9.77 |
Where Georgia sits
The same service costs 2.2 times more in Montana than in Florida. 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· 13th of 51
$129
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.