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 $8.51 Median $13.49 Typical High $18.62 | Facility | None | $8.51 | $13.49 | $18.62 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $15.49 | Professional | None | $10.00 | $10.00 | $15.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.00 Median $13.49 Typical High $26.30 | Facility | None | $10.00 | $13.49 | $26.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.51 Median $10.00 Typical High $15.49 | Professional | None | $8.51 | $10.00 | $15.49 |
Cigna Setting Facility Modifier None Typical Low $11.48 Median $17.38 Typical High $23.44 | Facility | None | $11.48 | $17.38 | $23.44 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | None | $10.00 | $10.00 | $10.00 |
Medica Setting Facility Modifier None Typical Low $8.71 Median $13.49 Typical High $100.00 | Facility | None | $8.71 | $13.49 | $100.00 |
Medica Setting Professional Modifier None Typical Low $8.13 Median $9.12 Typical High $10.47 | Professional | None | $8.13 | $9.12 | $10.47 |
United Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $10.72 | Professional | None | $8.51 | $8.51 | $10.72 |
4 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 $5.01 Median $5.01 Typical High $7.76 | Professional | 52 · Reduced service | $5.01 | $5.01 | $7.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $2.00 Typical High $3.09 | Professional | 53 · Discontinued | $2.00 | $2.00 | $3.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.51 Median $1.51 Typical High $2.34 | Professional | 55 · Aftercare only | $1.51 | $1.51 | $2.34 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.00 Median $1.00 Typical High $1.55 | Professional | 56 · Pre-op care only | $1.00 | $1.00 | $1.55 |
Where Missouri sits
The same service costs 2.2 times more in Arkansas 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· 19th of 51
$10.00
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.