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 $1.00 Median $2.34 Typical High $2.34 | Facility | None | $1.00 | $2.34 | $2.34 |
Aetna Setting Professional Modifier None Typical Low $1.00 Median $1.45 Typical High $2.34 | Professional | None | $1.00 | $1.45 | $2.34 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.17 Median $1.58 Typical High $2.34 | Professional | None | $1.17 | $1.58 | $2.34 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $0.89 Median $0.95 Typical High $1.66 | Professional | UE · Used equipment | $0.89 | $0.95 | $1.66 |
BCBS Kansas City Setting Professional Modifier None Typical Low $1.45 Median $1.45 Typical High $2.40 | Professional | None | $1.45 | $1.45 | $2.40 |
Cigna Setting Facility Modifier None Typical Low $1.41 Median $1.41 Typical High $1.74 | Facility | None | $1.41 | $1.41 | $1.74 |
Cigna Setting Professional Modifier None Typical Low $1.20 Median $1.20 Typical High $1.41 | Professional | None | $1.20 | $1.20 | $1.41 |
Medica Setting Facility Modifier None Typical Low $1.15 Median $2.34 Typical High $79.43 | Facility | None | $1.15 | $2.34 | $79.43 |
Medica Setting Professional Modifier None Typical Low $0.83 Median $1.17 Typical High $11.75 | Professional | None | $0.83 | $1.17 | $11.75 |
United Setting Professional Modifier None Typical Low $0.78 Median $1.12 Typical High $1.66 | Professional | None | $0.78 | $1.12 | $1.66 |
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 $0.15 Median $0.21 Typical High $0.35 | Professional | 55 · Aftercare only | $0.15 | $0.21 | $0.35 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.10 Median $0.14 Typical High $0.23 | Professional | 56 · Pre-op care only | $0.10 | $0.14 | $0.23 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.12 Median $0.12 Typical High $1.26 | Professional | RR · Rental | $0.12 | $0.12 | $1.26 |
Where Missouri sits
The same service costs 5.4 times more in Kansas than in Kentucky. 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· 35th of 51
$1.32
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.