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 $16.98 Median $39.81 Typical High $39.81 | Facility | None | $16.98 | $39.81 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $23.99 Typical High $39.81 | Professional | None | $16.98 | $23.99 | $39.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $19.95 Median $25.70 Typical High $33.11 | Professional | None | $19.95 | $25.70 | $33.11 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $14.79 Median $15.14 Typical High $27.54 | Professional | UE · Used equipment | $14.79 | $15.14 | $27.54 |
BCBS Kansas City Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $39.81 | Professional | None | $23.99 | $23.99 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $28.18 | Facility | None | $26.30 | $26.30 | $28.18 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $22.39 Typical High $22.39 | Professional | None | $16.22 | $22.39 | $22.39 |
Medica Setting Facility Modifier None Typical Low $20.42 Median $39.81 Typical High $186.21 | Facility | None | $20.42 | $39.81 | $186.21 |
Medica Setting Professional Modifier None Typical Low $13.80 Median $19.50 Typical High $194.98 | Professional | None | $13.80 | $19.50 | $194.98 |
United Setting Professional Modifier None Typical Low $13.18 Median $19.05 Typical High $28.18 | Professional | None | $13.18 | $19.05 | $28.18 |
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 $2.51 Median $3.63 Typical High $5.89 | Professional | 55 · Aftercare only | $2.51 | $3.63 | $5.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.70 Median $2.40 Typical High $3.98 | Professional | 56 · Pre-op care only | $1.70 | $2.40 | $3.98 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.95 Median $1.95 Typical High $2.82 | Professional | RR · Rental | $1.95 | $1.95 | $2.82 |
Where Missouri sits
The same service costs 3.0 times more in Hawaii than in Kansas. 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· 32nd of 51
$22.39
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.