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 $30.20 Median $46.77 Typical High $46.77 | Facility | None | $30.20 | $46.77 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $46.77 Typical High $53.70 | Professional | None | $30.20 | $46.77 | $53.70 |
Ambetter Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None | $53.70 | $53.70 | $53.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $295.12 | Facility | None | $63.10 | $63.10 | $295.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $27.54 Median $38.90 Typical High $57.54 | Professional | None | $27.54 | $38.90 | $57.54 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $28.84 Median $28.84 Typical High $44.67 | Professional | UE · Used equipment | $28.84 | $28.84 | $44.67 |
BCBS Kansas City Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $50.12 | Facility | None | $40.74 | $40.74 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
Medica Setting Facility Modifier None Typical Low $34.67 Median $81.28 Typical High $281.84 | Facility | None | $34.67 | $81.28 | $281.84 |
Medica Setting Professional Modifier None Typical Low $25.12 Median $87.10 Typical High $316.23 | Professional | None | $25.12 | $87.10 | $316.23 |
United Setting Professional Modifier None Typical Low $21.88 Median $34.67 Typical High $66.07 | Professional | None | $21.88 | $34.67 | $66.07 |
4 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 $4.57 Median $7.08 Typical High $7.94 | Professional | 55 · Aftercare only | $4.57 | $7.08 | $7.94 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.02 Median $4.68 Typical High $5.37 | Professional | 56 · Pre-op care only | $3.02 | $4.68 | $5.37 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $3.89 Median $3.89 Typical High $58.88 | Professional | RR · Rental | $3.89 | $3.89 | $58.88 |
Cigna Setting Professional Modifier RR · Rental Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | RR · Rental | $100.00 | $100.00 | $100.00 |
Where Missouri sits
The same service costs 6.6 times more in Hawaii than in Wyoming. 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· 32nd of 51
$38.90
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.