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 $2,041.74 Median $2,041.74 Typical High $3,235.94 | Facility | None | $2,041.74 | $2,041.74 | $3,235.94 |
Aetna Setting Professional Modifier None Typical Low $2,041.74 Median $2,137.96 Typical High $3,090.30 | Professional | None | $2,041.74 | $2,137.96 | $3,090.30 |
Ambetter Setting Professional Modifier None Typical Low $9,549.93 Median $9,549.93 Typical High $9,549.93 | Professional | None | $9,549.93 | $9,549.93 | $9,549.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,897.79 Median $16,982.44 Typical High $18,197.01 | Facility | None | $4,897.79 | $16,982.44 | $18,197.01 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,691.53 Median $4,073.80 Typical High $14,125.38 | Professional | None | $2,691.53 | $4,073.80 | $14,125.38 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $288.40 Median $588.84 Typical High $2,691.53 | Professional | RR · Rental | $288.40 | $588.84 | $2,691.53 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,187.76 Median $4,365.16 Typical High $19,952.62 | Professional | UE · Used equipment | $2,187.76 | $4,365.16 | $19,952.62 |
CareSource Setting Facility Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $4,168.69 | Facility | None | $4,168.69 | $4,168.69 | $4,168.69 |
CareSource Setting Professional Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $4,168.69 | Professional | None | $4,168.69 | $4,168.69 | $4,168.69 |
Cigna Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Facility | None | $2,884.03 | $2,884.03 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $6,606.93 | Professional | None | $2,089.30 | $2,089.30 | $6,606.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,467.37 Median $4,897.79 Typical High $7,079.46 | Professional | None | $3,467.37 | $4,897.79 | $7,079.46 |
United Setting Professional Modifier None Typical Low $1,698.24 Median $2,398.83 Typical High $6,165.95 | Professional | None | $1,698.24 | $2,398.83 | $6,165.95 |
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 $302.00 Median $316.23 Typical High $457.09 | Professional | 55 · Aftercare only | $302.00 | $316.23 | $457.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $204.17 Median $213.80 Typical High $309.03 | Professional | 56 · Pre-op care only | $204.17 | $213.80 | $309.03 |
Where Georgia sits
The same service costs 2.4 times more in Montana than in Delaware. 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· 18th of 51
$3,548
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.