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 $1.07 Median $2.51 Typical High $2.51 | Facility | None | $1.07 | $2.51 | $2.51 |
Aetna Setting Professional Modifier None Typical Low $1.07 Median $1.51 Typical High $2.51 | Professional | None | $1.07 | $1.51 | $2.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.26 Median $1.48 Typical High $2.14 | Professional | None | $1.26 | $1.48 | $2.14 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $0.93 Median $1.07 Typical High $1.95 | Professional | UE · Used equipment | $0.93 | $1.07 | $1.95 |
BCBS Kansas City Setting Professional Modifier None Typical Low $1.55 Median $1.55 Typical High $2.57 | Professional | None | $1.55 | $1.55 | $2.57 |
Cigna Setting Facility Modifier None Typical Low $1.51 Median $1.51 Typical High $1.62 | Facility | None | $1.51 | $1.51 | $1.62 |
Cigna Setting Professional Modifier None Typical Low $1.29 Median $1.29 Typical High $1.51 | Professional | None | $1.29 | $1.29 | $1.51 |
Medica Setting Facility Modifier None Typical Low $1.29 Median $2.51 Typical High $79.43 | Facility | None | $1.29 | $2.51 | $79.43 |
Medica Setting Professional Modifier None Typical Low $0.89 Median $1.26 Typical High $12.59 | Professional | None | $0.89 | $1.26 | $12.59 |
United Setting Professional Modifier None Typical Low $0.83 Median $1.20 Typical High $1.78 | Professional | None | $0.83 | $1.20 | $1.78 |
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 $0.16 Median $0.23 Typical High $0.38 | Professional | 55 · Aftercare only | $0.16 | $0.23 | $0.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.11 Median $0.15 Typical High $0.25 | Professional | 56 · Pre-op care only | $0.11 | $0.15 | $0.25 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.13 Median $0.13 Typical High $1.32 | Professional | RR · Rental | $0.13 | $0.13 | $1.32 |
Where Missouri sits
The same service costs 2.1 times more in Idaho than in Connecticut. 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· 39th of 51
$1.35
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.