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 $2.14 Median $4.90 Typical High $4.90 | Facility | None | $2.14 | $4.90 | $4.90 |
Aetna Setting Professional Modifier None Typical Low $2.14 Median $3.02 Typical High $4.90 | Professional | None | $2.14 | $3.02 | $4.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.40 Median $3.55 Typical High $4.27 | Professional | None | $2.40 | $3.55 | $4.27 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1.78 Median $2.19 Typical High $3.16 | Professional | UE · Used equipment | $1.78 | $2.19 | $3.16 |
BCBS Kansas City Setting Professional Modifier None Typical Low $3.02 Median $3.02 Typical High $5.01 | Professional | None | $3.02 | $3.02 | $5.01 |
Cigna Setting Facility Modifier None Typical Low $2.95 Median $2.95 Typical High $3.16 | Facility | None | $2.95 | $2.95 | $3.16 |
Cigna Setting Professional Modifier None Typical Low $2.51 Median $2.51 Typical High $2.95 | Professional | None | $2.51 | $2.51 | $2.95 |
Medica Setting Facility Modifier None Typical Low $2.51 Median $4.90 Typical High $79.43 | Facility | None | $2.51 | $4.90 | $79.43 |
Medica Setting Professional Modifier None Typical Low $1.74 Median $2.45 Typical High $24.55 | Professional | None | $1.74 | $2.45 | $24.55 |
United Setting Professional Modifier None Typical Low $1.62 Median $2.40 Typical High $3.47 | Professional | None | $1.62 | $2.40 | $3.47 |
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 $0.32 Median $0.45 Typical High $0.74 | Professional | 55 · Aftercare only | $0.32 | $0.45 | $0.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.21 Median $0.30 Typical High $0.49 | Professional | 56 · Pre-op care only | $0.21 | $0.30 | $0.49 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.24 Median $0.24 Typical High $2.51 | Professional | RR · Rental | $0.24 | $0.24 | $2.51 |
Where Missouri sits
The same service costs 2.1 times more in Montana than in Colorado. 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
$2.75
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.