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 $31.62 Median $31.62 Typical High $51.29 | Facility | None | $31.62 | $31.62 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $33.88 Typical High $48.98 | Professional | None | $31.62 | $33.88 | $48.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $77.62 Median $269.15 Typical High $288.40 | Facility | None | $77.62 | $269.15 | $288.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $42.66 Median $67.61 Typical High $426.58 | Professional | None | $42.66 | $67.61 | $426.58 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $4.27 Median $9.33 Typical High $42.66 | Professional | RR · Rental | $4.27 | $9.33 | $42.66 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $31.62 Median $69.18 Typical High $316.23 | Professional | UE · Used equipment | $31.62 | $69.18 | $316.23 |
CareSource Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
CareSource Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None | $64.57 | $64.57 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Facility | None | $43.65 | $43.65 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $104.71 | Professional | None | $37.15 | $37.15 | $104.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $54.95 Median $77.62 Typical High $181.97 | Professional | None | $54.95 | $77.62 | $181.97 |
United Setting Professional Modifier None Typical Low $26.30 Median $38.02 Typical High $97.72 | Professional | None | $26.30 | $38.02 | $97.72 |
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 $4.79 Median $5.01 Typical High $7.24 | Professional | 55 · Aftercare only | $4.79 | $5.01 | $7.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.16 Median $3.39 Typical High $4.79 | Professional | 56 · Pre-op care only | $3.16 | $3.39 | $4.79 |
Where Georgia sits
The same service costs 2.2 times more in Montana than in West Virginia. 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
$63.10
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.