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 $45.71 Median $70.79 Typical High $70.79 | Facility | None | $45.71 | $70.79 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $70.79 Typical High $79.43 | Professional | None | $45.71 | $70.79 | $79.43 |
Anthem BCBS Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $436.52 | Facility | None | $95.50 | $95.50 | $436.52 |
Anthem BCBS Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $79.43 | Professional | None | $41.69 | $41.69 | $79.43 |
BCBS Kansas City Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $81.28 | Professional | None | $57.54 | $57.54 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $69.18 | Facility | None | $64.57 | $64.57 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
Medica Setting Facility Modifier None Typical Low $52.48 Median $89.13 Typical High $426.58 | Facility | None | $52.48 | $89.13 | $426.58 |
Medica Setting Professional Modifier None Typical Low $45.71 Median $123.03 Typical High $478.63 | Professional | None | $45.71 | $123.03 | $478.63 |
United Setting Professional Modifier None Typical Low $36.31 Median $54.95 Typical High $89.13 | Professional | None | $36.31 | $54.95 | $89.13 |
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 $22.91 Median $35.48 Typical High $39.81 | Professional | 52 · Reduced service | $22.91 | $35.48 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $14.13 Typical High $15.85 | Professional | 53 · Discontinued | $9.12 | $14.13 | $15.85 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.92 Median $10.47 Typical High $12.02 | Professional | 55 · Aftercare only | $6.92 | $10.47 | $12.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.57 Median $7.08 Typical High $7.94 | Professional | 56 · Pre-op care only | $4.57 | $7.08 | $7.94 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $5.37 Median $5.37 Typical High $53.70 | Professional | RR · Rental | $5.37 | $5.37 | $53.70 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $39.81 Median $39.81 Typical High $52.48 | Professional | UE · Used equipment | $39.81 | $39.81 | $52.48 |
Where Missouri sits
The same service costs 2.5 times more in Hawaii than in Rhode Island. 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· 34th of 51
$54.95
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.