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 $6.46 Median $15.14 Typical High $15.14 | Facility | None | $6.46 | $15.14 | $15.14 |
Aetna Setting Professional Modifier None Typical Low $6.46 Median $9.33 Typical High $15.14 | Professional | None | $6.46 | $9.33 | $15.14 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.08 Median $7.59 Typical High $14.45 | Professional | None | $7.08 | $7.59 | $14.45 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $5.37 Median $6.61 Typical High $10.72 | Professional | UE · Used equipment | $5.37 | $6.61 | $10.72 |
BCBS Kansas City Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $15.49 | Professional | None | $9.33 | $9.33 | $15.49 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $10.72 | Facility | None | $10.00 | $10.00 | $10.72 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $10.00 | Professional | None | $8.51 | $8.51 | $10.00 |
Medica Setting Facility Modifier None Typical Low $8.13 Median $15.14 Typical High $79.43 | Facility | None | $8.13 | $15.14 | $79.43 |
Medica Setting Professional Modifier None Typical Low $5.89 Median $7.59 Typical High $83.18 | Professional | None | $5.89 | $7.59 | $83.18 |
United Setting Professional Modifier None Typical Low $5.37 Median $7.59 Typical High $10.96 | Professional | None | $5.37 | $7.59 | $10.96 |
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 $0.98 Median $1.38 Typical High $2.29 | Professional | 55 · Aftercare only | $0.98 | $1.38 | $2.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.65 Median $0.93 Typical High $1.51 | Professional | 56 · Pre-op care only | $0.65 | $0.93 | $1.51 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.71 Median $0.71 Typical High $7.59 | Professional | RR · Rental | $0.71 | $0.71 | $7.59 |
Where Missouri sits
The same service costs 2.3 times more in Montana 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· 45th of 51
$8.51
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.