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 $1.62 Median $3.80 Typical High $3.80 | Facility | None | $1.62 | $3.80 | $3.80 |
Aetna Setting Professional Modifier None Typical Low $1.62 Median $2.29 Typical High $3.80 | Professional | None | $1.62 | $2.29 | $3.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.19 Median $2.24 Typical High $3.63 | Professional | None | $2.19 | $2.24 | $3.63 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1.70 Median $1.78 Typical High $2.69 | Professional | UE · Used equipment | $1.70 | $1.78 | $2.69 |
BCBS Kansas City Setting Professional Modifier None Typical Low $2.29 Median $2.29 Typical High $3.89 | Professional | None | $2.29 | $2.29 | $3.89 |
Cigna Setting Facility Modifier None Typical Low $2.69 Median $2.69 Typical High $3.31 | Facility | None | $2.69 | $2.69 | $3.31 |
Cigna Setting Professional Modifier None Typical Low $2.29 Median $2.29 Typical High $2.69 | Professional | None | $2.29 | $2.29 | $2.69 |
Medica Setting Facility Modifier None Typical Low $2.04 Median $3.80 Typical High $79.43 | Facility | None | $2.04 | $3.80 | $79.43 |
Medica Setting Professional Modifier None Typical Low $1.58 Median $1.91 Typical High $21.38 | Professional | None | $1.58 | $1.91 | $21.38 |
United Setting Professional Modifier None Typical Low $1.32 Median $1.91 Typical High $2.95 | Professional | None | $1.32 | $1.91 | $2.95 |
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 $0.81 Median $1.15 Typical High $1.91 | Professional | 52 · Reduced service | $0.81 | $1.15 | $1.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.32 Median $0.46 Typical High $0.76 | Professional | 53 · Discontinued | $0.32 | $0.46 | $0.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.24 Median $0.35 Typical High $0.56 | Professional | 55 · Aftercare only | $0.24 | $0.35 | $0.56 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.16 Median $0.23 Typical High $0.38 | Professional | 56 · Pre-op care only | $0.16 | $0.23 | $0.38 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.23 Median $0.23 Typical High $0.30 | Professional | RR · Rental | $0.23 | $0.23 | $0.30 |
Where Missouri sits
The same service costs 2.1 times more in Montana than in New Hampshire. 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· 41st of 51
$2.29
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.