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 $1.23 Median $2.88 Typical High $2.88 | Facility | None | $1.23 | $2.88 | $2.88 |
Aetna Setting Professional Modifier None Typical Low $1.23 Median $1.78 Typical High $2.88 | Professional | None | $1.23 | $1.78 | $2.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.70 Median $1.86 Typical High $2.40 | Professional | None | $1.70 | $1.86 | $2.40 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1.32 Median $1.62 Typical High $2.04 | Professional | UE · Used equipment | $1.32 | $1.62 | $2.04 |
BCBS Kansas City Setting Professional Modifier None Typical Low $1.78 Median $1.78 Typical High $2.95 | Professional | None | $1.78 | $1.78 | $2.95 |
Cigna Setting Facility Modifier None Typical Low $1.74 Median $1.74 Typical High $2.14 | Facility | None | $1.74 | $1.74 | $2.14 |
Cigna Setting Professional Modifier None Typical Low $1.48 Median $1.48 Typical High $1.74 | Professional | None | $1.48 | $1.48 | $1.74 |
Medica Setting Facility Modifier None Typical Low $1.48 Median $2.88 Typical High $79.43 | Facility | None | $1.48 | $2.88 | $79.43 |
Medica Setting Professional Modifier None Typical Low $1.02 Median $1.45 Typical High $14.45 | Professional | None | $1.02 | $1.45 | $14.45 |
United Setting Professional Modifier None Typical Low $0.95 Median $1.45 Typical High $2.19 | Professional | None | $0.95 | $1.45 | $2.19 |
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 $0.62 Median $0.87 Typical High $1.45 | Professional | 52 · Reduced service | $0.62 | $0.87 | $1.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.25 Median $0.35 Typical High $0.58 | Professional | 53 · Discontinued | $0.25 | $0.35 | $0.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.18 Median $0.26 Typical High $0.43 | Professional | 55 · Aftercare only | $0.18 | $0.26 | $0.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.12 Median $0.18 Typical High $0.28 | Professional | 56 · Pre-op care only | $0.12 | $0.18 | $0.28 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.18 Median $0.18 Typical High $0.20 | Professional | RR · Rental | $0.18 | $0.18 | $0.20 |
Where Missouri sits
The same service costs 2.2 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· 30th of 51
$1.82
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.