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 $0.91 Median $1.95 Typical High $2.14 | Facility | None | $0.91 | $1.95 | $2.14 |
Aetna Setting Professional Modifier None Typical Low $0.91 Median $1.32 Typical High $2.14 | Professional | None | $0.91 | $1.32 | $2.14 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.12 Median $1.17 Typical High $2.04 | Professional | None | $1.12 | $1.17 | $2.04 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $0.83 Median $1.02 Typical High $1.58 | Professional | UE · Used equipment | $0.83 | $1.02 | $1.58 |
BCBS Kansas City Setting Professional Modifier None Typical Low $1.32 Median $1.32 Typical High $2.19 | Professional | None | $1.32 | $1.32 | $2.19 |
Cigna Setting Facility Modifier None Typical Low $0.72 Median $1.35 Typical High $1.45 | Facility | None | $0.72 | $1.35 | $1.45 |
Cigna Setting Professional Modifier None Typical Low $1.12 Median $1.12 Typical High $1.12 | Professional | None | $1.12 | $1.12 | $1.12 |
Medica Setting Facility Modifier None Typical Low $1.10 Median $2.24 Typical High $79.43 | Facility | None | $1.10 | $2.24 | $79.43 |
Medica Setting Professional Modifier None Typical Low $0.79 Median $1.07 Typical High $22.91 | Professional | None | $0.79 | $1.07 | $22.91 |
United Setting Professional Modifier None Typical Low $0.72 Median $1.07 Typical High $1.51 | Professional | None | $0.72 | $1.07 | $1.51 |
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 $0.14 Median $0.20 Typical High $0.32 | Professional | 55 · Aftercare only | $0.14 | $0.20 | $0.32 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.09 Median $0.13 Typical High $0.21 | Professional | 56 · Pre-op care only | $0.09 | $0.13 | $0.21 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.11 Median $0.11 Typical High $1.17 | Professional | RR · Rental | $0.11 | $0.11 | $1.17 |
Where Missouri sits
The same service costs 5.8 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· 46th of 51
$1.12
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.