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 $8.71 Median $20.42 Typical High $20.42 | Facility | None | $8.71 | $20.42 | $20.42 |
Aetna Setting Professional Modifier None Typical Low $8.71 Median $12.30 Typical High $20.42 | Professional | None | $8.71 | $12.30 | $20.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.00 Median $12.88 Typical High $16.98 | Professional | None | $10.00 | $12.88 | $16.98 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $7.59 Median $7.76 Typical High $14.45 | Professional | UE · Used equipment | $7.59 | $7.76 | $14.45 |
BCBS Kansas City Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $20.89 | Professional | None | $12.30 | $12.30 | $20.89 |
Cigna Setting Facility Modifier None Typical Low $9.55 Median $13.49 Typical High $14.45 | Facility | None | $9.55 | $13.49 | $14.45 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | None | $11.48 | $11.48 | $11.48 |
Medica Setting Facility Modifier None Typical Low $10.72 Median $20.42 Typical High $102.33 | Facility | None | $10.72 | $20.42 | $102.33 |
Medica Setting Professional Modifier None Typical Low $7.94 Median $10.00 Typical High $109.65 | Professional | None | $7.94 | $10.00 | $109.65 |
United Setting Professional Modifier None Typical Low $7.08 Median $10.00 Typical High $15.49 | Professional | None | $7.08 | $10.00 | $15.49 |
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 $1.29 Median $1.86 Typical High $3.02 | Professional | 55 · Aftercare only | $1.29 | $1.86 | $3.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.87 Median $1.23 Typical High $2.04 | Professional | 56 · Pre-op care only | $0.87 | $1.23 | $2.04 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.00 Median $1.00 Typical High $1.51 | Professional | RR · Rental | $1.00 | $1.00 | $1.51 |
Where Missouri sits
The same service costs 2.8 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· 40th of 51
$11.48
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.