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 $3.39 Median $7.94 Typical High $7.94 | Facility | None | $3.39 | $7.94 | $7.94 |
Aetna Setting Professional Modifier None Typical Low $3.39 Median $4.90 Typical High $7.94 | Professional | None | $3.39 | $4.90 | $7.94 |
Ambetter Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $9.77 | Professional | None | $7.59 | $7.59 | $9.77 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.98 Median $4.27 Typical High $7.59 | Professional | None | $3.98 | $4.27 | $7.59 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $3.02 Median $3.24 Typical High $5.62 | Professional | UE · Used equipment | $3.02 | $3.24 | $5.62 |
BCBS Kansas City Setting Professional Modifier None Typical Low $4.90 Median $4.90 Typical High $8.13 | Professional | None | $4.90 | $4.90 | $8.13 |
Cigna Setting Facility Modifier None Typical Low $4.79 Median $4.79 Typical High $5.13 | Facility | None | $4.79 | $4.79 | $5.13 |
Cigna Setting Professional Modifier None Typical Low $4.07 Median $4.07 Typical High $4.79 | Professional | None | $4.07 | $4.07 | $4.79 |
Medica Setting Facility Modifier None Typical Low $4.17 Median $7.94 Typical High $79.43 | Facility | None | $4.17 | $7.94 | $79.43 |
Medica Setting Professional Modifier None Typical Low $2.82 Median $3.98 Typical High $39.81 | Professional | None | $2.82 | $3.98 | $39.81 |
United Setting Professional Modifier None Typical Low $2.63 Median $3.89 Typical High $5.75 | Professional | None | $2.63 | $3.89 | $5.75 |
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 $0.51 Median $0.72 Typical High $1.20 | Professional | 55 · Aftercare only | $0.51 | $0.72 | $1.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.34 Median $0.49 Typical High $0.79 | Professional | 56 · Pre-op care only | $0.34 | $0.49 | $0.79 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.40 Median $0.40 Typical High $4.27 | Professional | RR · Rental | $0.40 | $0.40 | $4.27 |
Where Missouri sits
The same service costs 2.3 times more in Kansas than in Utah. 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· 40th of 51
$4.27
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.