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 $6.76 Median $15.85 Typical High $15.85 | Facility | None | $6.76 | $15.85 | $15.85 |
Aetna Setting Professional Modifier None Typical Low $6.76 Median $9.55 Typical High $15.85 | Professional | None | $6.76 | $9.55 | $15.85 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.94 Median $10.00 Typical High $13.49 | Professional | None | $7.94 | $10.00 | $13.49 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $5.89 Median $6.03 Typical High $11.22 | Professional | UE · Used equipment | $5.89 | $6.03 | $11.22 |
BCBS Kansas City Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $16.22 | Professional | None | $9.77 | $9.77 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $8.13 Median $9.55 Typical High $10.23 | Facility | None | $8.13 | $9.55 | $10.23 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | None | $8.13 | $8.13 | $8.13 |
Medica Setting Facility Modifier None Typical Low $8.13 Median $15.85 Typical High $79.43 | Facility | None | $8.13 | $15.85 | $79.43 |
Medica Setting Professional Modifier None Typical Low $5.62 Median $7.94 Typical High $79.43 | Professional | None | $5.62 | $7.94 | $79.43 |
United Setting Professional Modifier None Typical Low $5.25 Median $7.59 Typical High $11.22 | Professional | None | $5.25 | $7.59 | $11.22 |
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 $1.02 Median $1.45 Typical High $2.34 | Professional | 55 · Aftercare only | $1.02 | $1.45 | $2.34 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.68 Median $0.95 Typical High $1.58 | Professional | 56 · Pre-op care only | $0.68 | $0.95 | $1.58 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.79 Median $0.79 Typical High $8.13 | Professional | RR · Rental | $0.79 | $0.79 | $8.13 |
Where Missouri sits
The same service costs 2.2 times more in Kansas 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· 40th of 51
$8.71
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.