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 $2.82 Median $6.46 Typical High $6.46 | Facility | None | $2.82 | $6.46 | $6.46 |
Aetna Setting Professional Modifier None Typical Low $2.82 Median $3.98 Typical High $6.46 | Professional | None | $2.82 | $3.98 | $6.46 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.02 Median $3.24 Typical High $5.75 | Professional | None | $3.02 | $3.24 | $5.75 |
BCBS Kansas City Setting Professional Modifier None Typical Low $3.98 Median $3.98 Typical High $6.61 | Professional | None | $3.98 | $3.98 | $6.61 |
Cigna Setting Facility Modifier None Typical Low $3.89 Median $3.89 Typical High $4.17 | Facility | None | $3.89 | $3.89 | $4.17 |
Cigna Setting Professional Modifier None Typical Low $3.31 Median $3.31 Typical High $3.89 | Professional | None | $3.31 | $3.31 | $3.89 |
Medica Setting Facility Modifier None Typical Low $3.98 Median $6.46 Typical High $79.43 | Facility | None | $3.98 | $6.46 | $79.43 |
Medica Setting Professional Modifier None Typical Low $2.29 Median $3.24 Typical High $32.36 | Professional | None | $2.29 | $3.24 | $32.36 |
United Setting Professional Modifier None Typical Low $2.19 Median $3.24 Typical High $4.68 | Professional | None | $2.19 | $3.24 | $4.68 |
6 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 $1.41 Median $2.00 Typical High $3.24 | Professional | 52 · Reduced service | $1.41 | $2.00 | $3.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.56 Median $0.79 Typical High $1.32 | Professional | 53 · Discontinued | $0.56 | $0.79 | $1.32 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.42 Median $0.60 Typical High $0.98 | Professional | 55 · Aftercare only | $0.42 | $0.60 | $0.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.28 Median $0.40 Typical High $0.65 | Professional | 56 · Pre-op care only | $0.28 | $0.40 | $0.65 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.32 Median $0.32 Typical High $3.39 | Professional | RR · Rental | $0.32 | $0.32 | $3.39 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2.40 Median $2.40 Typical High $3.47 | Professional | UE · Used equipment | $2.40 | $2.40 | $3.47 |
Where Missouri sits
The same service costs 2.1 times more in Montana than in New Jersey. 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· 47th of 51
$3.31
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.