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 $7.59 Median $17.78 Typical High $17.78 | Facility | None | $7.59 | $17.78 | $17.78 |
Aetna Setting Professional Modifier None Typical Low $7.59 Median $10.72 Typical High $17.78 | Professional | None | $7.59 | $10.72 | $17.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $16.22 | Professional | None | $9.33 | $9.33 | $16.22 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $7.08 Median $7.59 Typical High $11.48 | Professional | UE · Used equipment | $7.08 | $7.59 | $11.48 |
BCBS Kansas City Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $17.78 | Professional | None | $10.72 | $10.72 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $8.91 Median $12.30 Typical High $13.18 | Facility | None | $8.91 | $12.30 | $13.18 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | None | $10.47 | $10.47 | $10.47 |
Medica Setting Facility Modifier None Typical Low $9.33 Median $18.20 Typical High $91.20 | Facility | None | $9.33 | $18.20 | $91.20 |
Medica Setting Professional Modifier None Typical Low $7.24 Median $8.71 Typical High $112.20 | Professional | None | $7.24 | $8.71 | $112.20 |
United Setting Professional Modifier None Typical Low $6.03 Median $8.71 Typical High $13.49 | Professional | None | $6.03 | $8.71 | $13.49 |
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 $1.12 Median $1.62 Typical High $2.63 | Professional | 55 · Aftercare only | $1.12 | $1.62 | $2.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.76 Median $1.07 Typical High $1.78 | Professional | 56 · Pre-op care only | $0.76 | $1.07 | $1.78 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.93 Median $0.93 Typical High $1.38 | Professional | RR · Rental | $0.93 | $0.93 | $1.38 |
Where Missouri sits
The same service costs 3.0 times more in Hawaii 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· 48th of 51
$10.00
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.