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 $354.81 Median $354.81 Typical High $562.34 | Facility | None | $354.81 | $354.81 | $562.34 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $380.19 Typical High $537.03 | Professional | None | $354.81 | $380.19 | $537.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $870.96 Median $3,019.95 Typical High $3,162.28 | Facility | None | $870.96 | $3,019.95 | $3,162.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $489.78 Median $707.95 Typical High $2,398.83 | Professional | None | $489.78 | $707.95 | $2,398.83 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $51.29 Median $87.10 Typical High $501.19 | Professional | RR · Rental | $51.29 | $87.10 | $501.19 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $380.19 Median $645.65 Typical High $3,715.35 | Professional | UE · Used equipment | $380.19 | $645.65 | $3,715.35 |
CareSource Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
CareSource Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | None | $724.44 | $724.44 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $1,174.90 | Professional | None | $389.05 | $389.05 | $1,174.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $602.56 Median $870.96 Typical High $1,698.24 | Professional | None | $602.56 | $870.96 | $1,698.24 |
United Setting Professional Modifier None Typical Low $316.23 Median $426.58 Typical High $1,096.48 | Professional | None | $316.23 | $426.58 | $1,096.48 |
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 $53.70 Median $57.54 Typical High $81.28 | Professional | 55 · Aftercare only | $53.70 | $57.54 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $38.02 Typical High $53.70 | Professional | 56 · Pre-op care only | $35.48 | $38.02 | $53.70 |
Where Georgia sits
The same service costs 3.2 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· 17th of 51
$692
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.