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 $5.75 Median $13.49 Typical High $13.49 | Facility | None | $5.75 | $13.49 | $13.49 |
Aetna Setting Professional Modifier None Typical Low $5.75 Median $8.13 Typical High $13.49 | Professional | None | $5.75 | $8.13 | $13.49 |
Ambetter Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | None | $15.85 | $15.85 | $15.85 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.76 Median $8.91 Typical High $11.48 | Professional | None | $6.76 | $8.91 | $11.48 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $5.01 Median $5.50 Typical High $9.55 | Professional | UE · Used equipment | $5.01 | $5.50 | $9.55 |
BCBS Kansas City Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $13.80 | Professional | None | $8.13 | $8.13 | $13.80 |
Cigna Setting Facility Modifier None Typical Low $8.13 Median $8.13 Typical High $8.71 | Facility | None | $8.13 | $8.13 | $8.71 |
Cigna Setting Professional Modifier None Typical Low $6.92 Median $6.92 Typical High $8.13 | Professional | None | $6.92 | $6.92 | $8.13 |
Medica Setting Facility Modifier None Typical Low $6.92 Median $13.49 Typical High $79.43 | Facility | None | $6.92 | $13.49 | $79.43 |
Medica Setting Professional Modifier None Typical Low $4.79 Median $6.76 Typical High $66.07 | Professional | None | $4.79 | $6.76 | $66.07 |
United Setting Professional Modifier None Typical Low $4.47 Median $6.46 Typical High $9.55 | Professional | None | $4.47 | $6.46 | $9.55 |
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 $0.85 Median $1.23 Typical High $2.00 | Professional | 55 · Aftercare only | $0.85 | $1.23 | $2.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.58 Median $0.81 Typical High $1.35 | Professional | 56 · Pre-op care only | $0.58 | $0.81 | $1.35 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.68 Median $0.68 Typical High $7.08 | Professional | RR · Rental | $0.68 | $0.68 | $7.08 |
Where Missouri sits
The same service costs 2.1 times more in Hawaii than in Colorado. 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
$7.59
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.