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 $1.91 Median $1.91 Typical High $2.19 | Facility | None | $1.91 | $1.91 | $2.19 |
Aetna Setting Professional Modifier None Typical Low $1.07 Median $1.91 Typical High $2.19 | Professional | None | $1.07 | $1.91 | $2.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $2.00 Median $2.00 Typical High $7.24 | Facility | None | $2.00 | $2.00 | $7.24 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.35 Median $1.58 Typical High $2.51 | Professional | None | $1.35 | $1.58 | $2.51 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1.20 Median $1.20 Typical High $1.66 | Professional | UE · Used equipment | $1.20 | $1.20 | $1.66 |
Cigna Setting Professional Modifier None Typical Low $1.17 Median $1.17 Typical High $1.70 | Professional | None | $1.17 | $1.17 | $1.70 |
Medica Setting Facility Modifier None Typical Low $1.70 Median $3.98 Typical High $85.11 | Facility | None | $1.70 | $3.98 | $85.11 |
Medica Setting Professional Modifier None Typical Low $0.87 Median $2.09 Typical High $3.72 | Professional | None | $0.87 | $2.09 | $3.72 |
United Setting Professional Modifier None Typical Low $0.76 Median $2.09 Typical High $3.55 | Professional | None | $0.76 | $2.09 | $3.55 |
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 $0.16 Median $0.28 Typical High $0.33 | Professional | 55 · Aftercare only | $0.16 | $0.28 | $0.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.11 Median $0.19 Typical High $0.22 | Professional | 56 · Pre-op care only | $0.11 | $0.19 | $0.22 |
Where Missouri sits
The same service costs 33.1 times more in Kansas 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· 38th of 51
$1.70
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.