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 $0.25 Median $5.62 Typical High $6.46 | Facility | None | $0.25 | $5.62 | $6.46 |
Aetna Setting Professional Modifier None Typical Low $3.55 Median $5.62 Typical High $6.46 | Professional | None | $3.55 | $5.62 | $6.46 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.76 Median $6.76 Typical High $23.99 | Facility | None | $6.76 | $6.76 | $23.99 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.88 Median $3.02 Typical High $6.61 | Professional | None | $2.88 | $3.02 | $6.61 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2.19 Median $2.19 Typical High $5.13 | Professional | UE · Used equipment | $2.19 | $2.19 | $5.13 |
Cigna Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | None | $5.75 | $5.75 | $5.75 |
Medica Setting Facility Modifier None Typical Low $4.90 Median $13.80 Typical High $234.42 | Facility | None | $4.90 | $13.80 | $234.42 |
Medica Setting Professional Modifier None Typical Low $2.57 Median $4.37 Typical High $8.13 | Professional | None | $2.57 | $4.37 | $8.13 |
United Setting Professional Modifier None Typical Low $2.24 Median $4.79 Typical High $9.12 | Professional | None | $2.24 | $4.79 | $9.12 |
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 $0.54 Median $0.83 Typical High $0.95 | Professional | 55 · Aftercare only | $0.54 | $0.83 | $0.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.36 Median $0.56 Typical High $0.65 | Professional | 56 · Pre-op care only | $0.36 | $0.56 | $0.65 |
Where Missouri sits
The same service costs 83.2 times more in Kansas than in Indiana. 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· 48th of 51
$4.27
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.