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 $1.32 Median $3.09 Typical High $3.09 | Facility | None | $1.32 | $3.09 | $3.09 |
Aetna Setting Professional Modifier None Typical Low $1.32 Median $1.91 Typical High $3.09 | Professional | None | $1.32 | $1.91 | $3.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.38 Median $2.09 Typical High $2.63 | Professional | None | $1.38 | $2.09 | $2.63 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1.05 Median $1.35 Typical High $2.19 | Professional | UE · Used equipment | $1.05 | $1.35 | $2.19 |
BCBS Kansas City Setting Professional Modifier None Typical Low $1.91 Median $1.91 Typical High $3.16 | Professional | None | $1.91 | $1.91 | $3.16 |
Cigna Setting Facility Modifier None Typical Low $1.86 Median $1.86 Typical High $2.29 | Facility | None | $1.86 | $1.86 | $2.29 |
Cigna Setting Professional Modifier None Typical Low $1.58 Median $1.58 Typical High $1.86 | Professional | None | $1.58 | $1.58 | $1.86 |
Medica Setting Facility Modifier None Typical Low $1.58 Median $3.09 Typical High $79.43 | Facility | None | $1.58 | $3.09 | $79.43 |
Medica Setting Professional Modifier None Typical Low $1.10 Median $1.55 Typical High $17.78 | Professional | None | $1.10 | $1.55 | $17.78 |
United Setting Professional Modifier None Typical Low $1.02 Median $1.51 Typical High $2.34 | Professional | None | $1.02 | $1.51 | $2.34 |
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 $0.20 Median $0.28 Typical High $0.47 | Professional | 55 · Aftercare only | $0.20 | $0.28 | $0.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.13 Median $0.19 Typical High $0.31 | Professional | 56 · Pre-op care only | $0.13 | $0.19 | $0.31 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.14 Median $0.14 Typical High $0.22 | Professional | RR · Rental | $0.14 | $0.14 | $0.22 |
Where Missouri sits
The same service costs 3.0 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· 38th of 51
$1.70
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.