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 $3.02 Median $6.92 Typical High $6.92 | Facility | None | $3.02 | $6.92 | $6.92 |
Aetna Setting Professional Modifier None Typical Low $3.02 Median $4.27 Typical High $6.92 | Professional | None | $3.02 | $4.27 | $6.92 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.31 Median $3.89 Typical High $6.76 | Professional | None | $3.31 | $3.89 | $6.76 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2.51 Median $3.02 Typical High $4.90 | Professional | UE · Used equipment | $2.51 | $3.02 | $4.90 |
BCBS Kansas City Setting Professional Modifier None Typical Low $4.27 Median $4.27 Typical High $7.08 | Professional | None | $4.27 | $4.27 | $7.08 |
Cigna Setting Professional Modifier None Typical Low $3.80 Median $3.80 Typical High $3.80 | Professional | None | $3.80 | $3.80 | $3.80 |
Medica Setting Facility Modifier None Typical Low $3.80 Median $15.14 Typical High $79.43 | Facility | None | $3.80 | $15.14 | $79.43 |
Medica Setting Professional Modifier None Typical Low $2.63 Median $3.47 Typical High $37.15 | Professional | None | $2.63 | $3.47 | $37.15 |
United Setting Professional Modifier None Typical Low $2.45 Median $3.47 Typical High $5.75 | Professional | None | $2.45 | $3.47 | $5.75 |
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 $0.45 Median $0.65 Typical High $1.05 | Professional | 55 · Aftercare only | $0.45 | $0.65 | $1.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.30 Median $0.43 Typical High $0.71 | Professional | 56 · Pre-op care only | $0.30 | $0.43 | $0.71 |
Where Missouri sits
The same service costs 2.5 times more in Idaho than in Colorado. 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· 37th of 51
$3.80
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.