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 $27.54 Median $63.10 Typical High $63.10 | Facility | None | $27.54 | $63.10 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $27.54 Median $38.90 Typical High $63.10 | Professional | None | $27.54 | $38.90 | $63.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $26.92 Median $29.51 Typical High $60.26 | Professional | None | $26.92 | $29.51 | $60.26 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $20.42 Median $22.39 Typical High $44.67 | Professional | UE · Used equipment | $20.42 | $22.39 | $44.67 |
BCBS Kansas City Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $64.57 | Professional | None | $38.90 | $38.90 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $38.02 Typical High $40.74 | Facility | None | $34.67 | $38.02 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $34.67 | Professional | None | $32.36 | $32.36 | $34.67 |
Medica Setting Facility Modifier None Typical Low $33.11 Median $63.10 Typical High $281.84 | Facility | None | $33.11 | $63.10 | $281.84 |
Medica Setting Professional Modifier None Typical Low $22.39 Median $31.62 Typical High $323.59 | Professional | None | $22.39 | $31.62 | $323.59 |
United Setting Professional Modifier None Typical Low $21.38 Median $31.62 Typical High $48.98 | Professional | None | $21.38 | $31.62 | $48.98 |
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 $4.07 Median $5.89 Typical High $9.55 | Professional | 55 · Aftercare only | $4.07 | $5.89 | $9.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.75 Median $3.89 Typical High $6.31 | Professional | 56 · Pre-op care only | $2.75 | $3.89 | $6.31 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2.69 Median $2.69 Typical High $4.27 | Professional | RR · Rental | $2.69 | $2.69 | $4.27 |
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· 43rd of 51
$32.36
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.