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 $46.77 Median $107.15 Typical High $107.15 | Facility | None | $46.77 | $107.15 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $66.07 Typical High $107.15 | Professional | None | $46.77 | $66.07 | $107.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $61.66 Median $69.18 Typical High $91.20 | Professional | None | $61.66 | $69.18 | $91.20 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $45.71 Median $51.29 Typical High $75.86 | Professional | UE · Used equipment | $45.71 | $51.29 | $75.86 |
BCBS Kansas City Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $109.65 | Professional | None | $66.07 | $66.07 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
Medica Setting Facility Modifier None Typical Low $56.23 Median $107.15 Typical High $512.86 | Facility | None | $56.23 | $107.15 | $512.86 |
Medica Setting Professional Modifier None Typical Low $38.02 Median $53.70 Typical High $537.03 | Professional | None | $38.02 | $53.70 | $537.03 |
United Setting Professional Modifier None Typical Low $36.31 Median $53.70 Typical High $83.18 | Professional | None | $36.31 | $53.70 | $83.18 |
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 $22.91 Median $33.11 Typical High $53.70 | Professional | 52 · Reduced service | $22.91 | $33.11 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $13.18 Typical High $21.38 | Professional | 53 · Discontinued | $9.33 | $13.18 | $21.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.92 Median $10.00 Typical High $16.22 | Professional | 55 · Aftercare only | $6.92 | $10.00 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.68 Median $6.61 Typical High $10.72 | Professional | 56 · Pre-op care only | $4.68 | $6.61 | $10.72 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $6.92 Median $6.92 Typical High $7.76 | Professional | RR · Rental | $6.92 | $6.92 | $7.76 |
Where Missouri sits
The same service costs 2.5 times more in Idaho than in Colorado. 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· 33rd of 51
$69.18
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.