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 $2.19 Median $3.09 Typical High $5.89 | Facility | None | $2.19 | $3.09 | $5.89 |
Aetna Setting Professional Modifier None Typical Low $2.19 Median $2.24 Typical High $4.90 | Professional | None | $2.19 | $2.24 | $4.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $2.19 Median $3.24 Typical High $6.17 | Facility | None | $2.19 | $3.24 | $6.17 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.19 Median $2.63 Typical High $4.90 | Professional | None | $2.19 | $2.63 | $4.90 |
Cigna Setting Facility Modifier None Typical Low $2.51 Median $3.80 Typical High $5.13 | Facility | None | $2.51 | $3.80 | $5.13 |
Cigna Setting Professional Modifier None Typical Low $2.19 Median $2.19 Typical High $2.19 | Professional | None | $2.19 | $2.19 | $2.19 |
Medica Setting Facility Modifier None Typical Low $2.14 Median $2.57 Typical High $7.76 | Facility | None | $2.14 | $2.57 | $7.76 |
Medica Setting Professional Modifier None Typical Low $1.95 Median $2.19 Typical High $2.51 | Professional | None | $1.95 | $2.19 | $2.51 |
United Setting Professional Modifier None Typical Low $2.40 Median $2.40 Typical High $2.95 | Professional | None | $2.40 | $2.40 | $2.95 |
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 $0.33 Median $0.33 Typical High $0.72 | Professional | 55 · Aftercare only | $0.33 | $0.33 | $0.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.22 Median $0.22 Typical High $0.49 | Professional | 56 · Pre-op care only | $0.22 | $0.22 | $0.49 |
Where Missouri sits
The same service costs 1.9 times more in Wyoming than in South Carolina. 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· 22nd of 51
$2.40
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.