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 $16.98 Median $16.98 Typical High $19.95 | Facility | None | $16.98 | $16.98 | $19.95 |
Aetna Setting Professional Modifier None Typical Low $9.77 Median $16.98 Typical High $19.95 | Professional | None | $9.77 | $16.98 | $19.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $66.07 | Facility | None | $18.62 | $18.62 | $66.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.30 Median $14.79 Typical High $22.39 | Professional | None | $12.30 | $14.79 | $22.39 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $9.12 Median $11.22 Typical High $13.80 | Professional | UE · Used equipment | $9.12 | $11.22 | $13.80 |
Cigna Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | None | $16.98 | $16.98 | $16.98 |
Medica Setting Facility Modifier None Typical Low $15.14 Median $38.02 Typical High $91.20 | Facility | None | $15.14 | $38.02 | $91.20 |
Medica Setting Professional Modifier None Typical Low $7.94 Median $18.20 Typical High $33.88 | Professional | None | $7.94 | $18.20 | $33.88 |
United Setting Professional Modifier None Typical Low $6.92 Median $18.62 Typical High $30.90 | Professional | None | $6.92 | $18.62 | $30.90 |
2 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 $1.48 Median $2.57 Typical High $2.95 | Professional | 55 · Aftercare only | $1.48 | $2.57 | $2.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.98 Median $1.74 Typical High $1.95 | Professional | 56 · Pre-op care only | $0.98 | $1.74 | $1.95 |
Where Missouri sits
The same service costs 3.5 times more in Florida than in Alabama. 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· 42nd of 51
$15.85
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.