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 $5.37 Median $12.59 Typical High $12.59 | Facility | None | $5.37 | $12.59 | $12.59 |
Aetna Setting Professional Modifier None Typical Low $5.37 Median $7.76 Typical High $12.59 | Professional | None | $5.37 | $7.76 | $12.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.31 Median $7.59 Typical High $10.72 | Professional | None | $6.31 | $7.59 | $10.72 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $4.79 Median $5.37 Typical High $8.71 | Professional | UE · Used equipment | $4.79 | $5.37 | $8.71 |
BCBS Kansas City Setting Professional Modifier None Typical Low $7.76 Median $7.76 Typical High $12.88 | Professional | None | $7.76 | $7.76 | $12.88 |
Cigna Setting Facility Modifier None Typical Low $7.59 Median $7.59 Typical High $8.13 | Facility | None | $7.59 | $7.59 | $8.13 |
Cigna Setting Professional Modifier None Typical Low $6.46 Median $6.46 Typical High $7.59 | Professional | None | $6.46 | $6.46 | $7.59 |
Medica Setting Facility Modifier None Typical Low $6.46 Median $12.59 Typical High $79.43 | Facility | None | $6.46 | $12.59 | $79.43 |
Medica Setting Professional Modifier None Typical Low $4.47 Median $6.31 Typical High $63.10 | Professional | None | $4.47 | $6.31 | $63.10 |
United Setting Professional Modifier None Typical Low $4.17 Median $6.17 Typical High $8.91 | Professional | None | $4.17 | $6.17 | $8.91 |
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 $0.81 Median $1.15 Typical High $1.91 | Professional | 55 · Aftercare only | $0.81 | $1.15 | $1.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.54 Median $0.78 Typical High $1.26 | Professional | 56 · Pre-op care only | $0.54 | $0.78 | $1.26 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.63 Median $0.63 Typical High $6.76 | Professional | RR · Rental | $0.63 | $0.63 | $6.76 |
Where Missouri sits
The same service costs 2.1 times more in Idaho than in New Jersey. 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· 37th of 51
$7.08
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.