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 $11.48 Median $11.75 Typical High $16.60 | Facility | None | $11.48 | $11.75 | $16.60 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $13.80 | Professional | None | $11.48 | $11.48 | $13.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.02 Median $15.49 Typical High $40.74 | Facility | None | $12.02 | $15.49 | $40.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.48 Median $12.59 Typical High $13.80 | Professional | None | $11.48 | $12.59 | $13.80 |
Cigna Setting Facility Modifier None Typical Low $13.18 Median $19.50 Typical High $26.92 | Facility | None | $13.18 | $19.50 | $26.92 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | None | $11.48 | $11.48 | $11.48 |
Medica Setting Facility Modifier None Typical Low $11.48 Median $13.49 Typical High $100.00 | Facility | None | $11.48 | $13.49 | $100.00 |
Medica Setting Professional Modifier None Typical Low $10.47 Median $11.48 Typical High $13.49 | Professional | None | $10.47 | $11.48 | $13.49 |
United Setting Facility Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Facility | None | $11.48 | $11.48 | $11.48 |
United Setting Professional Modifier None Typical Low $10.96 Median $11.48 Typical High $13.18 | Professional | None | $10.96 | $11.48 | $13.18 |
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 $1.70 Median $1.70 Typical High $2.04 | Professional | 55 · Aftercare only | $1.70 | $1.70 | $2.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.12 Median $1.12 Typical High $1.38 | Professional | 56 · Pre-op care only | $1.12 | $1.12 | $1.38 |
Where Missouri sits
The same service costs 1.5 times more in Alaska than in West Virginia. 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· 40th of 51
$11.48
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.