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 $12.59 Median $12.59 Typical High $14.45 | Facility | None | $12.59 | $12.59 | $14.45 |
Aetna Setting Professional Modifier None Typical Low $7.24 Median $12.59 Typical High $14.45 | Professional | None | $7.24 | $12.59 | $14.45 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.49 Median $13.49 Typical High $48.98 | Facility | None | $13.49 | $13.49 | $48.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.91 Median $10.47 Typical High $16.22 | Professional | None | $8.91 | $10.47 | $16.22 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $6.61 Median $7.94 Typical High $10.00 | Professional | UE · Used equipment | $6.61 | $7.94 | $10.00 |
Cigna Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | None | $14.45 | $14.45 | $14.45 |
Medica Setting Facility Modifier None Typical Low $10.96 Median $26.92 Typical High $85.11 | Facility | None | $10.96 | $26.92 | $85.11 |
Medica Setting Professional Modifier None Typical Low $5.89 Median $13.49 Typical High $25.12 | Professional | None | $5.89 | $13.49 | $25.12 |
United Setting Professional Modifier None Typical Low $5.01 Median $13.80 Typical High $22.91 | Professional | None | $5.01 | $13.80 | $22.91 |
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 $1.07 Median $1.91 Typical High $2.19 | Professional | 55 · Aftercare only | $1.07 | $1.91 | $2.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.72 Median $1.26 Typical High $1.45 | Professional | 56 · Pre-op care only | $0.72 | $1.26 | $1.45 |
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
$12.02
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.