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 $5.89 Median $13.80 Typical High $13.80 | Facility | None | $5.89 | $13.80 | $13.80 |
Aetna Setting Professional Modifier None Typical Low $5.89 Median $8.32 Typical High $13.80 | Professional | None | $5.89 | $8.32 | $13.80 |
Ambetter Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.92 Median $8.32 Typical High $11.75 | Professional | None | $6.92 | $8.32 | $11.75 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $5.13 Median $5.89 Typical High $9.77 | Professional | UE · Used equipment | $5.13 | $5.89 | $9.77 |
BCBS Kansas City Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $14.13 | Professional | None | $8.51 | $8.51 | $14.13 |
Cigna Setting Facility Modifier None Typical Low $8.32 Median $8.32 Typical High $8.91 | Facility | None | $8.32 | $8.32 | $8.91 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $8.32 | Professional | None | $7.08 | $7.08 | $8.32 |
Medica Setting Facility Modifier None Typical Low $7.08 Median $13.80 Typical High $79.43 | Facility | None | $7.08 | $13.80 | $79.43 |
Medica Setting Professional Modifier None Typical Low $4.90 Median $6.92 Typical High $69.18 | Professional | None | $4.90 | $6.92 | $69.18 |
United Setting Professional Modifier None Typical Low $4.57 Median $6.61 Typical High $9.77 | Professional | None | $4.57 | $6.61 | $9.77 |
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 $0.89 Median $1.26 Typical High $2.04 | Professional | 55 · Aftercare only | $0.89 | $1.26 | $2.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.59 Median $0.83 Typical High $1.38 | Professional | 56 · Pre-op care only | $0.59 | $0.83 | $1.38 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.69 Median $0.69 Typical High $7.24 | Professional | RR · Rental | $0.69 | $0.69 | $7.24 |
Where Missouri sits
The same service costs 2.1 times more in Idaho than in Delaware. 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
$7.76
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.