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 $2.82 Median $6.61 Typical High $6.61 | Facility | None | $2.82 | $6.61 | $6.61 |
Aetna Setting Professional Modifier None Typical Low $2.82 Median $3.98 Typical High $6.61 | Professional | None | $2.82 | $3.98 | $6.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.82 Median $2.88 Typical High $6.31 | Professional | None | $2.82 | $2.88 | $6.31 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2.09 Median $2.82 Typical High $4.17 | Professional | UE · Used equipment | $2.09 | $2.82 | $4.17 |
BCBS Kansas City Setting Professional Modifier None Typical Low $4.07 Median $4.07 Typical High $6.76 | Professional | None | $4.07 | $4.07 | $6.76 |
Cigna Setting Facility Modifier None Typical Low $3.98 Median $3.98 Typical High $4.27 | Facility | None | $3.98 | $3.98 | $4.27 |
Cigna Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $3.98 | Professional | None | $3.39 | $3.39 | $3.98 |
Medica Setting Facility Modifier None Typical Low $3.24 Median $6.61 Typical High $79.43 | Facility | None | $3.24 | $6.61 | $79.43 |
Medica Setting Professional Modifier None Typical Low $2.34 Median $3.31 Typical High $31.62 | Professional | None | $2.34 | $3.31 | $31.62 |
United Setting Professional Modifier None Typical Low $2.19 Median $3.24 Typical High $5.01 | Professional | None | $2.19 | $3.24 | $5.01 |
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 $0.42 Median $0.60 Typical High $1.00 | Professional | 55 · Aftercare only | $0.42 | $0.60 | $1.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.28 Median $0.40 Typical High $0.66 | Professional | 56 · Pre-op care only | $0.28 | $0.40 | $0.66 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.28 Median $0.28 Typical High $0.44 | Professional | RR · Rental | $0.28 | $0.28 | $0.44 |
Where Missouri sits
The same service costs 2.2 times more in Minnesota 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· 43rd of 51
$3.39
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.