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 $1.91 Median $4.47 Typical High $4.47 | Facility | None | $1.91 | $4.47 | $4.47 |
Aetna Setting Professional Modifier None Typical Low $1.91 Median $2.69 Typical High $4.47 | Professional | None | $1.91 | $2.69 | $4.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.14 Median $3.09 Typical High $3.89 | Professional | None | $2.14 | $3.09 | $3.89 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1.58 Median $1.95 Typical High $2.95 | Professional | UE · Used equipment | $1.58 | $1.95 | $2.95 |
BCBS Kansas City Setting Professional Modifier None Typical Low $2.69 Median $2.69 Typical High $4.57 | Professional | None | $2.69 | $2.69 | $4.57 |
Cigna Setting Facility Modifier None Typical Low $2.69 Median $2.69 Typical High $3.31 | Facility | None | $2.69 | $2.69 | $3.31 |
Cigna Setting Professional Modifier None Typical Low $2.29 Median $2.29 Typical High $2.69 | Professional | None | $2.29 | $2.29 | $2.69 |
Medica Setting Facility Modifier None Typical Low $2.19 Median $4.47 Typical High $79.43 | Facility | None | $2.19 | $4.47 | $79.43 |
Medica Setting Professional Modifier None Typical Low $1.58 Median $2.19 Typical High $21.88 | Professional | None | $1.58 | $2.19 | $21.88 |
United Setting Professional Modifier None Typical Low $1.48 Median $2.14 Typical High $3.16 | Professional | None | $1.48 | $2.14 | $3.16 |
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 $0.28 Median $0.41 Typical High $0.68 | Professional | 55 · Aftercare only | $0.28 | $0.41 | $0.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.19 Median $0.27 Typical High $0.44 | Professional | 56 · Pre-op care only | $0.19 | $0.27 | $0.44 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.21 Median $0.21 Typical High $2.24 | Professional | RR · Rental | $0.21 | $0.21 | $2.24 |
Where Missouri sits
The same service costs 2.3 times more in Hawaii 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· 38th of 51
$2.45
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.