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 $10.72 Median $25.12 Typical High $25.12 | Facility | None | $10.72 | $25.12 | $25.12 |
Aetna Setting Professional Modifier None Typical Low $10.72 Median $15.49 Typical High $25.12 | Professional | None | $10.72 | $15.49 | $25.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.72 Median $16.60 Typical High $21.38 | Professional | None | $10.72 | $16.60 | $21.38 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $8.13 Median $8.71 Typical High $17.78 | Professional | UE · Used equipment | $8.13 | $8.71 | $17.78 |
BCBS Kansas City Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $25.70 | Professional | None | $15.49 | $15.49 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $12.02 Median $15.14 Typical High $16.22 | Facility | None | $12.02 | $15.14 | $16.22 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | None | $12.88 | $12.88 | $12.88 |
Medica Setting Facility Modifier None Typical Low $12.88 Median $25.12 Typical High $112.20 | Facility | None | $12.88 | $25.12 | $112.20 |
Medica Setting Professional Modifier None Typical Low $8.91 Median $12.59 Typical High $144.54 | Professional | None | $8.91 | $12.59 | $144.54 |
United Setting Professional Modifier None Typical Low $8.32 Median $12.59 Typical High $19.05 | Professional | None | $8.32 | $12.59 | $19.05 |
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 $1.62 Median $2.29 Typical High $3.80 | Professional | 55 · Aftercare only | $1.62 | $2.29 | $3.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.07 Median $1.55 Typical High $2.51 | Professional | 56 · Pre-op care only | $1.07 | $1.55 | $2.51 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.07 Median $1.07 Typical High $1.70 | Professional | RR · Rental | $1.07 | $1.07 | $1.70 |
Where Missouri sits
The same service costs 3.5 times more in Hawaii than in Connecticut. 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· 36th of 51
$13.49
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.