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 $4.90 Median $11.48 Typical High $11.48 | Facility | None | $4.90 | $11.48 | $11.48 |
Aetna Setting Professional Modifier None Typical Low $4.90 Median $7.08 Typical High $11.48 | Professional | None | $4.90 | $7.08 | $11.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.75 Median $6.76 Typical High $9.77 | Professional | None | $5.75 | $6.76 | $9.77 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $4.37 Median $4.90 Typical High $7.94 | Professional | UE · Used equipment | $4.37 | $4.90 | $7.94 |
BCBS Kansas City Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $11.75 | Professional | None | $7.08 | $7.08 | $11.75 |
Cigna Setting Facility Modifier None Typical Low $7.59 Median $7.59 Typical High $8.13 | Facility | None | $7.59 | $7.59 | $8.13 |
Cigna Setting Professional Modifier None Typical Low $6.46 Median $6.46 Typical High $7.59 | Professional | None | $6.46 | $6.46 | $7.59 |
Medica Setting Facility Modifier None Typical Low $5.89 Median $11.48 Typical High $79.43 | Facility | None | $5.89 | $11.48 | $79.43 |
Medica Setting Professional Modifier None Typical Low $4.07 Median $5.75 Typical High $57.54 | Professional | None | $4.07 | $5.75 | $57.54 |
United Setting Professional Modifier None Typical Low $3.80 Median $5.62 Typical High $8.13 | Professional | None | $3.80 | $5.62 | $8.13 |
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 $2.45 Median $3.55 Typical High $5.75 | Professional | 52 · Reduced service | $2.45 | $3.55 | $5.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.00 Median $1.41 Typical High $2.29 | Professional | 53 · Discontinued | $1.00 | $1.41 | $2.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.74 Median $1.05 Typical High $1.74 | Professional | 55 · Aftercare only | $0.74 | $1.05 | $1.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.49 Median $0.71 Typical High $1.15 | Professional | 56 · Pre-op care only | $0.49 | $0.71 | $1.15 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.58 Median $0.58 Typical High $0.81 | Professional | RR · Rental | $0.58 | $0.58 | $0.81 |
Where Missouri sits
The same service costs 2.1 times more in Idaho than in Connecticut. 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
$6.46
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.