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 $9.33 Median $21.88 Typical High $21.88 | Facility | None | $9.33 | $21.88 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $9.33 Median $13.18 Typical High $21.88 | Professional | None | $9.33 | $13.18 | $21.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.00 Median $11.22 Typical High $18.20 | Professional | None | $10.00 | $11.22 | $18.20 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $8.13 Median $8.51 Typical High $15.49 | Professional | UE · Used equipment | $8.13 | $8.51 | $15.49 |
BCBS Kansas City Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $22.39 | Professional | None | $13.49 | $13.49 | $22.39 |
Cigna Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $16.60 | Facility | None | $15.49 | $15.49 | $16.60 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $15.49 | Professional | None | $13.18 | $13.18 | $15.49 |
Medica Setting Facility Modifier None Typical Low $11.75 Median $22.39 Typical High $117.49 | Facility | None | $11.75 | $22.39 | $117.49 |
Medica Setting Professional Modifier None Typical Low $9.12 Median $10.96 Typical High $165.96 | Professional | None | $9.12 | $10.96 | $165.96 |
United Setting Professional Modifier None Typical Low $8.32 Median $10.96 Typical High $16.60 | Professional | None | $8.32 | $10.96 | $16.60 |
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 $1.41 Median $2.00 Typical High $3.24 | Professional | 55 · Aftercare only | $1.41 | $2.00 | $3.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.93 Median $1.32 Typical High $2.19 | Professional | 56 · Pre-op care only | $0.93 | $1.32 | $2.19 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.10 Median $1.10 Typical High $11.48 | Professional | RR · Rental | $1.10 | $1.10 | $11.48 |
Where Missouri sits
The same service costs 3.5 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· 49th of 51
$11.75
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.