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 $69.18 Median $69.18 Typical High $79.43 | Facility | None | $69.18 | $69.18 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $69.18 Typical High $79.43 | Professional | None | $44.67 | $69.18 | $79.43 |
Anthem BCBS Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $302.00 | Facility | None | $83.18 | $83.18 | $302.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $35.48 Median $37.15 Typical High $81.28 | Professional | None | $35.48 | $37.15 | $81.28 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $26.92 Median $27.54 Typical High $61.66 | Professional | UE · Used equipment | $26.92 | $27.54 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $0.09 Median $0.09 Typical High $0.09 | Professional | None | $0.09 | $0.09 | $0.09 |
Medica Setting Facility Modifier None Typical Low $42.66 Median $169.82 Typical High $389.05 | Facility | None | $42.66 | $169.82 | $389.05 |
Medica Setting Professional Modifier None Typical Low $31.62 Median $54.95 Typical High $100.00 | Professional | None | $31.62 | $54.95 | $100.00 |
United Setting Professional Modifier None Typical Low $27.54 Median $60.26 Typical High $112.20 | Professional | None | $27.54 | $60.26 | $112.20 |
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 $6.61 Median $10.47 Typical High $12.02 | Professional | 55 · Aftercare only | $6.61 | $10.47 | $12.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.47 Median $6.92 Typical High $7.94 | Professional | 56 · Pre-op care only | $4.47 | $6.92 | $7.94 |
Where Missouri sits
The same service costs 5.5 times more in Iowa than in Kansas. 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· 44th of 51
$46.77
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.