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 $549.54 Median $549.54 Typical High $870.96 | Facility | None | $549.54 | $549.54 | $870.96 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $588.84 Typical High $831.76 | Professional | None | $549.54 | $588.84 | $831.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,318.26 Median $4,570.88 Typical High $4,897.79 | Facility | None | $1,318.26 | $4,570.88 | $4,897.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $724.44 Median $1,148.15 Typical High $4,265.80 | Professional | None | $724.44 | $1,148.15 | $4,265.80 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $77.62 Median $158.49 Typical High $724.44 | Professional | RR · Rental | $77.62 | $158.49 | $724.44 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $588.84 Median $1,174.90 Typical High $5,370.32 | Professional | UE · Used equipment | $588.84 | $1,174.90 | $5,370.32 |
CareSource Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | None | $1,122.02 | $1,122.02 | $1,122.02 |
CareSource Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | None | $1,122.02 | $1,122.02 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $1,778.28 | Professional | None | $524.81 | $524.81 | $1,778.28 |
Kaiser Permanente Setting Professional Modifier None Typical Low $933.25 Median $1,318.26 Typical High $1,905.46 | Professional | None | $933.25 | $1,318.26 | $1,905.46 |
United Setting Professional Modifier None Typical Low $457.09 Median $645.65 Typical High $1,659.59 | Professional | None | $457.09 | $645.65 | $1,659.59 |
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 $81.28 Median $85.11 Typical High $123.03 | Professional | 55 · Aftercare only | $81.28 | $85.11 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $57.54 Typical High $83.18 | Professional | 56 · Pre-op care only | $54.95 | $57.54 | $83.18 |
Where Georgia sits
The same service costs 2.4 times more in Hawaii 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· 12th of 51
$1,096
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.