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 $34.67 Median $51.29 Typical High $51.29 | Facility | None | $34.67 | $51.29 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $51.29 Typical High $72.44 | Professional | None | $34.67 | $51.29 | $72.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $354.81 | Facility | None | $77.62 | $77.62 | $354.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $40.74 Median $42.66 Typical High $70.79 | Professional | None | $40.74 | $42.66 | $70.79 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $30.90 Median $31.62 Typical High $53.70 | Professional | UE · Used equipment | $30.90 | $31.62 | $53.70 |
BCBS Kansas City Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $77.62 | Professional | None | $46.77 | $46.77 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $46.77 | Facility | None | $43.65 | $43.65 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $43.65 | Professional | None | $37.15 | $37.15 | $43.65 |
Medica Setting Facility Modifier None Typical Low $34.67 Median $74.13 Typical High $354.81 | Facility | None | $34.67 | $74.13 | $354.81 |
Medica Setting Professional Modifier None Typical Low $28.18 Median $38.02 Typical High $380.19 | Professional | None | $28.18 | $38.02 | $380.19 |
United Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
United Setting Professional Modifier None Typical Low $26.30 Median $38.02 Typical High $53.70 | Professional | None | $26.30 | $38.02 | $53.70 |
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 $5.25 Median $7.76 Typical High $10.72 | Professional | 55 · Aftercare only | $5.25 | $7.76 | $10.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.47 Median $5.13 Typical High $7.24 | Professional | 56 · Pre-op care only | $3.47 | $5.13 | $7.24 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $4.27 Median $4.27 Typical High $42.66 | Professional | RR · Rental | $4.27 | $4.27 | $42.66 |
Where Missouri sits
The same service costs 2.2 times more in Montana 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· 37th of 51
$42.66
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.