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 $2.51 Median $5.89 Typical High $5.89 | Facility | None | $2.51 | $5.89 | $5.89 |
Aetna Setting Professional Modifier None Typical Low $2.51 Median $3.55 Typical High $5.89 | Professional | None | $2.51 | $3.55 | $5.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.95 Median $3.39 Typical High $4.90 | Professional | None | $2.95 | $3.39 | $4.90 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2.19 Median $2.40 Typical High $4.17 | Professional | UE · Used equipment | $2.19 | $2.40 | $4.17 |
BCBS Kansas City Setting Professional Modifier None Typical Low $3.63 Median $3.63 Typical High $6.03 | Professional | None | $3.63 | $3.63 | $6.03 |
Cigna Setting Facility Modifier None Typical Low $3.80 Median $3.80 Typical High $4.07 | Facility | None | $3.80 | $3.80 | $4.07 |
Cigna Setting Professional Modifier None Typical Low $2.45 Median $3.24 Typical High $3.24 | Professional | None | $2.45 | $3.24 | $3.24 |
Medica Setting Facility Modifier None Typical Low $2.82 Median $5.89 Typical High $79.43 | Facility | None | $2.82 | $5.89 | $79.43 |
Medica Setting Professional Modifier None Typical Low $2.04 Median $2.95 Typical High $29.51 | Professional | None | $2.04 | $2.95 | $29.51 |
United Setting Professional Modifier None Typical Low $1.95 Median $2.82 Typical High $4.17 | Professional | None | $1.95 | $2.82 | $4.17 |
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 $0.38 Median $0.54 Typical High $0.87 | Professional | 55 · Aftercare only | $0.38 | $0.54 | $0.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.25 Median $0.36 Typical High $0.59 | Professional | 56 · Pre-op care only | $0.25 | $0.36 | $0.59 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.28 Median $0.28 Typical High $0.42 | Professional | RR · Rental | $0.28 | $0.28 | $0.42 |
Where Missouri sits
The same service costs 3.2 times more in Kansas 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· 37th of 51
$3.24
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.