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 $69.18 Median $102.33 Typical High $102.33 | Facility | None | $69.18 | $102.33 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $102.33 Typical High $144.54 | Professional | None | $69.18 | $102.33 | $144.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $707.95 | Facility | None | $154.88 | $154.88 | $707.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $81.28 Median $100.00 Typical High $128.82 | Professional | None | $81.28 | $100.00 | $128.82 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $60.26 Median $75.86 Typical High $107.15 | Professional | UE · Used equipment | $60.26 | $75.86 | $107.15 |
BCBS Kansas City Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $154.88 | Professional | None | $91.20 | $91.20 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $109.65 | Facility | None | $97.72 | $97.72 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $97.72 | Professional | None | $72.44 | $72.44 | $97.72 |
Medica Setting Facility Modifier None Typical Low $69.18 Median $147.91 Typical High $707.95 | Facility | None | $69.18 | $147.91 | $707.95 |
Medica Setting Professional Modifier None Typical Low $56.23 Median $75.86 Typical High $758.58 | Professional | None | $56.23 | $75.86 | $758.58 |
United Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
United Setting Professional Modifier None Typical Low $52.48 Median $75.86 Typical High $114.82 | Professional | None | $52.48 | $75.86 | $114.82 |
3 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 $10.23 Median $15.14 Typical High $21.38 | Professional | 55 · Aftercare only | $10.23 | $15.14 | $21.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $10.23 Typical High $14.45 | Professional | 56 · Pre-op care only | $6.92 | $10.23 | $14.45 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $10.23 Median $10.23 Typical High $102.33 | Professional | RR · Rental | $10.23 | $10.23 | $102.33 |
Where Missouri sits
The same service costs 4.2 times more in Kansas than in Delaware. 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· 28th of 51
$100
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.