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 $338.84 Median $338.84 Typical High $389.05 | Facility | None | $338.84 | $338.84 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $338.84 Typical High $389.05 | Professional | None | $213.80 | $338.84 | $389.05 |
Anthem BCBS Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $1,445.44 | Facility | None | $407.38 | $407.38 | $1,445.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $177.83 Median $186.21 Typical High $398.11 | Professional | None | $177.83 | $186.21 | $398.11 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $134.90 Median $138.04 Typical High $302.00 | Professional | UE · Used equipment | $134.90 | $138.04 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None | $169.82 | $169.82 | $169.82 |
Medica Setting Facility Modifier None Typical Low $208.93 Median $831.76 Typical High $1,905.46 | Facility | None | $208.93 | $831.76 | $1,905.46 |
Medica Setting Professional Modifier None Typical Low $154.88 Median $263.03 Typical High $489.78 | Professional | None | $154.88 | $263.03 | $489.78 |
United Setting Professional Modifier None Typical Low $134.90 Median $288.40 Typical High $549.54 | Professional | None | $134.90 | $288.40 | $549.54 |
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 $32.36 Median $50.12 Typical High $57.54 | Professional | 55 · Aftercare only | $32.36 | $50.12 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $33.88 Typical High $38.90 | Professional | 56 · Pre-op care only | $21.38 | $33.88 | $38.90 |
Where Missouri sits
The same service costs 3.2 times more in Iowa than in New York. 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
$229
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.