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 $1.62 Median $3.80 Typical High $3.80 | Facility | None | $1.62 | $3.80 | $3.80 |
Aetna Setting Professional Modifier None Typical Low $1.62 Median $2.29 Typical High $3.80 | Professional | None | $1.62 | $2.29 | $3.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.91 Median $2.40 Typical High $3.24 | Professional | None | $1.91 | $2.40 | $3.24 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1.41 Median $1.58 Typical High $2.63 | Professional | UE · Used equipment | $1.41 | $1.58 | $2.63 |
BCBS Kansas City Setting Professional Modifier None Typical Low $2.29 Median $2.29 Typical High $3.89 | Professional | None | $2.29 | $2.29 | $3.89 |
Cigna Setting Facility Modifier None Typical Low $2.29 Median $2.29 Typical High $2.45 | Facility | None | $2.29 | $2.29 | $2.45 |
Cigna Setting Professional Modifier None Typical Low $1.95 Median $1.95 Typical High $2.29 | Professional | None | $1.95 | $1.95 | $2.29 |
Medica Setting Facility Modifier None Typical Low $1.95 Median $3.80 Typical High $79.43 | Facility | None | $1.95 | $3.80 | $79.43 |
Medica Setting Professional Modifier None Typical Low $1.35 Median $1.86 Typical High $18.62 | Professional | None | $1.35 | $1.86 | $18.62 |
United Setting Professional Modifier None Typical Low $1.26 Median $1.82 Typical High $2.69 | Professional | None | $1.26 | $1.82 | $2.69 |
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 $0.24 Median $0.35 Typical High $0.56 | Professional | 55 · Aftercare only | $0.24 | $0.35 | $0.56 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.16 Median $0.23 Typical High $0.38 | Professional | 56 · Pre-op care only | $0.16 | $0.23 | $0.38 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.19 Median $0.19 Typical High $2.00 | Professional | RR · Rental | $0.19 | $0.19 | $2.00 |
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
$2.09
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.