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 $4.37 Median $10.23 Typical High $10.23 | Facility | None | $4.37 | $10.23 | $10.23 |
Aetna Setting Professional Modifier None Typical Low $4.37 Median $6.31 Typical High $10.23 | Professional | None | $4.37 | $6.31 | $10.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.79 Median $6.46 Typical High $8.71 | Professional | None | $4.79 | $6.46 | $8.71 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $3.63 Median $4.37 Typical High $7.24 | Professional | UE · Used equipment | $3.63 | $4.37 | $7.24 |
BCBS Kansas City Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $10.47 | Professional | None | $6.31 | $6.31 | $10.47 |
Cigna Setting Facility Modifier None Typical Low $6.17 Median $6.17 Typical High $6.61 | Facility | None | $6.17 | $6.17 | $6.61 |
Cigna Setting Professional Modifier None Typical Low $5.25 Median $5.25 Typical High $6.17 | Professional | None | $5.25 | $5.25 | $6.17 |
Medica Setting Facility Modifier None Typical Low $5.01 Median $10.23 Typical High $79.43 | Facility | None | $5.01 | $10.23 | $79.43 |
Medica Setting Professional Modifier None Typical Low $3.63 Median $5.13 Typical High $51.29 | Professional | None | $3.63 | $5.13 | $51.29 |
United Setting Professional Modifier None Typical Low $3.39 Median $5.01 Typical High $7.24 | Professional | None | $3.39 | $5.01 | $7.24 |
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 $0.66 Median $0.93 Typical High $1.55 | Professional | 55 · Aftercare only | $0.66 | $0.93 | $1.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.44 Median $0.63 Typical High $1.02 | Professional | 56 · Pre-op care only | $0.44 | $0.63 | $1.02 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.48 Median $0.48 Typical High $5.13 | Professional | RR · Rental | $0.48 | $0.48 | $5.13 |
Where Missouri sits
The same service costs 2.1 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· 38th of 51
$5.75
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.