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 $26.92 Median $63.10 Typical High $63.10 | Facility | None | $26.92 | $63.10 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $38.90 Typical High $63.10 | Professional | None | $26.92 | $38.90 | $63.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $28.84 Median $39.81 Typical High $54.95 | Professional | None | $28.84 | $39.81 | $54.95 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $21.88 Median $23.44 Typical High $44.67 | Professional | UE · Used equipment | $21.88 | $23.44 | $44.67 |
BCBS Kansas City Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $64.57 | Professional | None | $38.90 | $38.90 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $43.65 | Facility | None | $40.74 | $40.74 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $40.74 | Professional | None | $34.67 | $34.67 | $40.74 |
Medica Setting Facility Modifier None Typical Low $33.11 Median $63.10 Typical High $309.03 | Facility | None | $33.11 | $63.10 | $309.03 |
Medica Setting Professional Modifier None Typical Low $23.99 Median $31.62 Typical High $363.08 | Professional | None | $23.99 | $31.62 | $363.08 |
United Setting Professional Modifier None Typical Low $22.39 Median $31.62 Typical High $44.67 | Professional | None | $22.39 | $31.62 | $44.67 |
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 $4.07 Median $5.75 Typical High $9.55 | Professional | 55 · Aftercare only | $4.07 | $5.75 | $9.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.69 Median $3.89 Typical High $6.31 | Professional | 56 · Pre-op care only | $2.69 | $3.89 | $6.31 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2.88 Median $2.88 Typical High $30.90 | Professional | RR · Rental | $2.88 | $2.88 | $30.90 |
Where Missouri sits
The same service costs 3.0 times more in Hawaii than in Rhode Island. 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
$35.48
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.