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 $1,584.89 Median $1,584.89 Typical High $2,570.40 | Facility | None | $1,584.89 | $1,584.89 | $2,570.40 |
Aetna Setting Professional Modifier None Typical Low $1,584.89 Median $1,659.59 Typical High $2,398.83 | Professional | None | $1,584.89 | $1,659.59 | $2,398.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,890.45 Median $13,489.63 Typical High $14,454.40 | Facility | None | $3,890.45 | $13,489.63 | $14,454.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,089.30 Median $3,388.44 Typical High $12,589.25 | Professional | None | $2,089.30 | $3,388.44 | $12,589.25 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $208.93 Median $467.74 Typical High $2,089.30 | Professional | RR · Rental | $208.93 | $467.74 | $2,089.30 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,548.82 Median $3,467.37 Typical High $15,848.93 | Professional | UE · Used equipment | $1,548.82 | $3,467.37 | $15,848.93 |
CareSource Setting Facility Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Facility | None | $3,235.94 | $3,235.94 | $3,235.94 |
CareSource Setting Professional Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Professional | None | $3,235.94 | $3,235.94 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,454.71 | $2,454.71 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $5,248.07 | Professional | None | $1,778.28 | $1,778.28 | $5,248.07 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,754.23 Median $3,890.45 Typical High $6,456.54 | Professional | None | $2,754.23 | $3,890.45 | $6,456.54 |
United Setting Professional Modifier None Typical Low $1,318.26 Median $1,905.46 Typical High $4,897.79 | Professional | None | $1,318.26 | $1,905.46 | $4,897.79 |
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 $239.88 Median $251.19 Typical High $363.08 | Professional | 55 · Aftercare only | $239.88 | $251.19 | $363.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $158.49 Median $165.96 Typical High $239.88 | Professional | 56 · Pre-op care only | $158.49 | $165.96 | $239.88 |
Where Georgia sits
The same service costs 2.3 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· 13th of 51
$3,162
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.