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 $63.10 Median $63.10 Typical High $102.33 | Facility | None | $63.10 | $63.10 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $66.07 Typical High $95.50 | Professional | None | $63.10 | $66.07 | $95.50 |
Ambetter Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None | $79.43 | $79.43 | $79.43 |
Anthem BCBS Setting Facility Modifier None Typical Low $154.88 Median $537.03 Typical High $575.44 | Facility | None | $154.88 | $537.03 | $575.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $87.10 Median $134.90 Typical High $501.19 | Professional | None | $87.10 | $134.90 | $501.19 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $10.23 Median $18.20 Typical High $83.18 | Professional | RR · Rental | $10.23 | $18.20 | $83.18 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $75.86 Median $138.04 Typical High $630.96 | Professional | UE · Used equipment | $75.86 | $138.04 | $630.96 |
CareSource Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
CareSource Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None | $128.82 | $128.82 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $208.93 | Professional | None | $72.44 | $72.44 | $208.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $109.65 Median $154.88 Typical High $218.78 | Professional | None | $109.65 | $154.88 | $218.78 |
United Setting Professional Modifier None Typical Low $56.23 Median $75.86 Typical High $194.98 | Professional | None | $56.23 | $75.86 | $194.98 |
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 $9.55 Median $10.00 Typical High $14.45 | Professional | 55 · Aftercare only | $9.55 | $10.00 | $14.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.31 Median $6.61 Typical High $9.55 | Professional | 56 · Pre-op care only | $6.31 | $6.61 | $9.55 |
Where Georgia sits
The same service costs 4.2 times more in Kansas 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· 15th of 51
$126
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.