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 $15.14 Median $32.36 Typical High $36.31 | Facility | None | $15.14 | $32.36 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $21.38 Typical High $35.48 | Professional | None | $15.14 | $21.38 | $35.48 |
Ambetter Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.33 Median $15.85 Typical High $29.51 | Professional | None | $9.33 | $15.85 | $29.51 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $12.02 Median $12.30 Typical High $25.12 | Professional | UE · Used equipment | $12.02 | $12.30 | $25.12 |
BCBS Kansas City Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $36.31 | Professional | None | $21.38 | $21.38 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $21.38 Typical High $22.91 | Facility | None | $12.59 | $21.38 | $22.91 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | None | $18.20 | $18.20 | $18.20 |
Medica Setting Facility Modifier None Typical Low $17.38 Median $35.48 Typical High $158.49 | Facility | None | $17.38 | $35.48 | $158.49 |
Medica Setting Professional Modifier None Typical Low $12.59 Median $17.78 Typical High $177.83 | Professional | None | $12.59 | $17.78 | $177.83 |
United Setting Professional Modifier None Typical Low $11.75 Median $17.38 Typical High $26.92 | Professional | None | $11.75 | $17.38 | $26.92 |
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 $2.29 Median $3.24 Typical High $5.25 | Professional | 55 · Aftercare only | $2.29 | $3.24 | $5.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.51 Median $2.14 Typical High $3.55 | Professional | 56 · Pre-op care only | $1.51 | $2.14 | $3.55 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.58 Median $1.58 Typical High $2.40 | Professional | RR · Rental | $1.58 | $1.58 | $2.40 |
Where Missouri sits
The same service costs 2.6 times more in Hawaii than in New Hampshire. 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· 47th of 51
$17.78
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.