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 $3.89 Median $9.12 Typical High $9.12 | Facility | None | $3.89 | $9.12 | $9.12 |
Aetna Setting Professional Modifier None Typical Low $3.89 Median $5.62 Typical High $9.12 | Professional | None | $3.89 | $5.62 | $9.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.57 Median $6.17 Typical High $7.76 | Professional | None | $4.57 | $6.17 | $7.76 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $3.39 Median $3.89 Typical High $6.03 | Professional | UE · Used equipment | $3.39 | $3.89 | $6.03 |
BCBS Kansas City Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $9.33 | Professional | None | $5.62 | $5.62 | $9.33 |
Cigna Setting Facility Modifier None Typical Low $5.50 Median $5.50 Typical High $5.89 | Facility | None | $5.50 | $5.50 | $5.89 |
Cigna Setting Professional Modifier None Typical Low $4.68 Median $4.68 Typical High $5.50 | Professional | None | $4.68 | $4.68 | $5.50 |
Medica Setting Facility Modifier None Typical Low $4.68 Median $9.12 Typical High $79.43 | Facility | None | $4.68 | $9.12 | $79.43 |
Medica Setting Professional Modifier None Typical Low $3.24 Median $4.57 Typical High $45.71 | Professional | None | $3.24 | $4.57 | $45.71 |
United Setting Professional Modifier None Typical Low $3.02 Median $4.37 Typical High $6.46 | Professional | None | $3.02 | $4.37 | $6.46 |
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 $1.95 Median $2.75 Typical High $4.57 | Professional | 52 · Reduced service | $1.95 | $2.75 | $4.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.78 Median $1.12 Typical High $1.82 | Professional | 53 · Discontinued | $0.78 | $1.12 | $1.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.59 Median $0.83 Typical High $1.38 | Professional | 55 · Aftercare only | $0.59 | $0.83 | $1.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.39 Median $0.56 Typical High $0.91 | Professional | 56 · Pre-op care only | $0.39 | $0.56 | $0.91 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.46 Median $0.46 Typical High $4.79 | Professional | RR · Rental | $0.46 | $0.46 | $4.79 |
Where Missouri sits
The same service costs 2.3 times more in Kansas than in Alabama. 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
$5.13
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.