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 $3.80 Median $8.91 Typical High $8.91 | Facility | None | $3.80 | $8.91 | $8.91 |
Aetna Setting Professional Modifier None Typical Low $3.80 Median $5.50 Typical High $8.91 | Professional | None | $3.80 | $5.50 | $8.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.47 Median $3.72 Typical High $8.51 | Professional | None | $3.47 | $3.72 | $8.51 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2.57 Median $3.47 Typical High $6.31 | Professional | UE · Used equipment | $2.57 | $3.47 | $6.31 |
BCBS Kansas City Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $9.12 | Professional | None | $5.50 | $5.50 | $9.12 |
Cigna Setting Facility Modifier None Typical Low $5.37 Median $5.37 Typical High $5.75 | Facility | None | $5.37 | $5.37 | $5.75 |
Cigna Setting Professional Modifier None Typical Low $4.57 Median $4.57 Typical High $5.37 | Professional | None | $4.57 | $4.57 | $5.37 |
Medica Setting Facility Modifier None Typical Low $3.98 Median $8.91 Typical High $79.43 | Facility | None | $3.98 | $8.91 | $79.43 |
Medica Setting Professional Modifier None Typical Low $3.16 Median $4.47 Typical High $61.66 | Professional | None | $3.16 | $4.47 | $61.66 |
United Setting Professional Modifier None Typical Low $3.02 Median $4.47 Typical High $6.92 | Professional | None | $3.02 | $4.47 | $6.92 |
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 $0.58 Median $0.81 Typical High $1.35 | Professional | 55 · Aftercare only | $0.58 | $0.81 | $1.35 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.38 Median $0.55 Typical High $0.89 | Professional | 56 · Pre-op care only | $0.38 | $0.55 | $0.89 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.34 Median $0.34 Typical High $0.60 | Professional | RR · Rental | $0.34 | $0.34 | $0.60 |
Where Missouri sits
The same service costs 4.2 times more in Hawaii than in Kentucky. 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· 45th of 51
$4.57
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.