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 $1.66 Median $3.89 Typical High $3.89 | Facility | None | $1.66 | $3.89 | $3.89 |
Aetna Setting Professional Modifier None Typical Low $1.66 Median $2.40 Typical High $3.89 | Professional | None | $1.66 | $2.40 | $3.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.95 Median $2.45 Typical High $3.31 | Professional | None | $1.95 | $2.45 | $3.31 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1.45 Median $1.70 Typical High $2.75 | Professional | UE · Used equipment | $1.45 | $1.70 | $2.75 |
BCBS Kansas City Setting Professional Modifier None Typical Low $2.40 Median $2.40 Typical High $3.98 | Professional | None | $2.40 | $2.40 | $3.98 |
Cigna Setting Facility Modifier None Typical Low $2.34 Median $2.34 Typical High $2.51 | Facility | None | $2.34 | $2.34 | $2.51 |
Cigna Setting Professional Modifier None Typical Low $2.00 Median $2.00 Typical High $2.34 | Professional | None | $2.00 | $2.00 | $2.34 |
Medica Setting Facility Modifier None Typical Low $2.00 Median $3.89 Typical High $79.43 | Facility | None | $2.00 | $3.89 | $79.43 |
Medica Setting Professional Modifier None Typical Low $1.38 Median $1.95 Typical High $19.50 | Professional | None | $1.38 | $1.95 | $19.50 |
United Setting Professional Modifier None Typical Low $1.29 Median $1.86 Typical High $2.75 | Professional | None | $1.29 | $1.86 | $2.75 |
5 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 52 · Reduced service Typical Low $0.83 Median $1.20 Typical High $1.95 | Professional | 52 · Reduced service | $0.83 | $1.20 | $1.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.33 Median $0.48 Typical High $0.78 | Professional | 53 · Discontinued | $0.33 | $0.48 | $0.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.25 Median $0.36 Typical High $0.59 | Professional | 55 · Aftercare only | $0.25 | $0.36 | $0.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.17 Median $0.24 Typical High $0.39 | Professional | 56 · Pre-op care only | $0.17 | $0.24 | $0.39 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.20 Median $0.20 Typical High $2.04 | Professional | RR · Rental | $0.20 | $0.20 | $2.04 |
Where Missouri sits
The same service costs 2.2 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· 39th of 51
$2.14
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.