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 $8.91 Median $20.89 Typical High $20.89 | Facility | None | $8.91 | $20.89 | $20.89 |
Aetna Setting Professional Modifier None Typical Low $8.91 Median $12.88 Typical High $20.89 | Professional | None | $8.91 | $12.88 | $20.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.47 Median $12.88 Typical High $17.78 | Professional | None | $10.47 | $12.88 | $17.78 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $7.94 Median $8.71 Typical High $13.80 | Professional | UE · Used equipment | $7.94 | $8.71 | $13.80 |
BCBS Kansas City Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $21.38 | Professional | None | $12.88 | $12.88 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $14.79 | Facility | None | $13.80 | $13.80 | $14.79 |
Cigna Setting Professional Modifier None Typical Low $8.71 Median $11.75 Typical High $11.75 | Professional | None | $8.71 | $11.75 | $11.75 |
Medica Setting Facility Modifier None Typical Low $10.96 Median $20.89 Typical High $97.72 | Facility | None | $10.96 | $20.89 | $97.72 |
Medica Setting Professional Modifier None Typical Low $7.41 Median $10.47 Typical High $104.71 | Professional | None | $7.41 | $10.47 | $104.71 |
United Setting Professional Modifier None Typical Low $6.92 Median $10.23 Typical High $14.79 | Professional | None | $6.92 | $10.23 | $14.79 |
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 $1.35 Median $1.91 Typical High $3.16 | Professional | 55 · Aftercare only | $1.35 | $1.91 | $3.16 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.89 Median $1.29 Typical High $2.09 | Professional | 56 · Pre-op care only | $0.89 | $1.29 | $2.09 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.05 Median $1.05 Typical High $1.48 | Professional | RR · Rental | $1.05 | $1.05 | $1.48 |
Where Missouri sits
The same service costs 2.3 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· 44th 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.