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 $21.88 Median $51.29 Typical High $51.29 | Facility | None | $21.88 | $51.29 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $30.90 Typical High $51.29 | Professional | None | $21.88 | $30.90 | $51.29 |
Ambetter Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None | $38.90 | $38.90 | $38.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $24.55 Median $41.69 Typical High $48.98 | Professional | None | $24.55 | $41.69 | $48.98 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $18.20 Median $21.88 Typical High $38.02 | Professional | UE · Used equipment | $18.20 | $21.88 | $38.02 |
BCBS Kansas City Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $48.98 | Professional | None | $29.51 | $29.51 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None | $28.84 | $28.84 | $28.84 |
Medica Setting Facility Modifier None Typical Low $30.90 Median $97.72 Typical High $229.09 | Facility | None | $30.90 | $97.72 | $229.09 |
Medica Setting Professional Modifier None Typical Low $20.89 Median $28.18 Typical High $239.88 | Professional | None | $20.89 | $28.18 | $239.88 |
United Setting Professional Modifier None Typical Low $18.62 Median $25.12 Typical High $46.77 | Professional | None | $18.62 | $25.12 | $46.77 |
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 $3.31 Median $4.68 Typical High $7.59 | Professional | 55 · Aftercare only | $3.31 | $4.68 | $7.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.19 Median $3.09 Typical High $5.13 | Professional | 56 · Pre-op care only | $2.19 | $3.09 | $5.13 |
Where Missouri sits
The same service costs 5.5 times more in Wyoming than in Utah. 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.
Missouri· 28th of 51
$32.36
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.