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 $3.80 Median $8.91 Typical High $8.91 | Facility | None | $3.80 | $8.91 | $8.91 |
Aetna Setting Professional Modifier None Typical Low $3.80 Median $5.50 Typical High $8.91 | Professional | None | $3.80 | $5.50 | $8.91 |
Ambetter Setting Professional Modifier None Typical Low $6.17 Median $6.17 Typical High $6.17 | Professional | None | $6.17 | $6.17 | $6.17 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.61 Median $10.00 Typical High $19.95 | Professional | None | $6.61 | $10.00 | $19.95 |
BCBS Kansas City Setting Professional Modifier None Typical Low $20.42 Median $21.38 Typical High $25.70 | Professional | None | $20.42 | $21.38 | $25.70 |
Cigna Setting Professional Modifier None Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | None | $7.41 | $7.41 | $7.41 |
Medica Setting Facility Modifier None Typical Low $4.90 Median $16.60 Typical High $89.13 | Facility | None | $4.90 | $16.60 | $89.13 |
Medica Setting Professional Modifier None Typical Low $4.68 Median $7.24 Typical High $69.18 | Professional | None | $4.68 | $7.24 | $69.18 |
United Setting Professional Modifier None Typical Low $3.63 Median $5.37 Typical High $11.48 | Professional | None | $3.63 | $5.37 | $11.48 |
3 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 $0.56 Median $0.81 Typical High $1.35 | Professional | 55 · Aftercare only | $0.56 | $0.81 | $1.35 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.38 Median $0.54 Typical High $0.89 | Professional | 56 · Pre-op care only | $0.38 | $0.54 | $0.89 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $6.92 Median $7.94 Typical High $10.23 | Professional | UE · Used equipment | $6.92 | $7.94 | $10.23 |
Where Missouri sits
The same service costs 3.2 times more in Minnesota than in Rhode Island. 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· 11th of 51
$9.12
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.