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 $61.66 Median $61.66 Typical High $70.79 | Facility | None | $61.66 | $61.66 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $64.57 Typical High $70.79 | Professional | None | $61.66 | $64.57 | $70.79 |
Anthem BCBS Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $549.54 | Facility | None | $120.23 | $120.23 | $549.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $67.61 Median $72.44 Typical High $97.72 | Professional | None | $67.61 | $72.44 | $97.72 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $45.71 Median $52.48 Typical High $83.18 | Professional | UE · Used equipment | $45.71 | $52.48 | $83.18 |
BCBS Kansas City Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $120.23 | Professional | None | $72.44 | $72.44 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $81.28 | Facility | None | $75.86 | $75.86 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $75.86 | Professional | None | $54.95 | $54.95 | $75.86 |
Medica Setting Facility Modifier None Typical Low $63.10 Median $117.49 Typical High $602.56 | Facility | None | $63.10 | $117.49 | $602.56 |
Medica Setting Professional Modifier None Typical Low $47.86 Median $58.88 Typical High $794.33 | Professional | None | $47.86 | $58.88 | $794.33 |
United Setting Facility Modifier None Typical Low $77.62 Median $87.10 Typical High $158.49 | Facility | None | $77.62 | $87.10 | $158.49 |
United Setting Professional Modifier None Typical Low $44.67 Median $58.88 Typical High $89.13 | Professional | None | $44.67 | $58.88 | $89.13 |
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 $30.90 Median $32.36 Typical High $35.48 | Professional | 52 · Reduced service | $30.90 | $32.36 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.88 Typical High $14.13 | Professional | 53 · Discontinued | $12.30 | $12.88 | $14.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $9.77 Typical High $10.72 | Professional | 55 · Aftercare only | $9.33 | $9.77 | $10.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $6.46 Typical High $7.08 | Professional | 56 · Pre-op care only | $6.17 | $6.46 | $7.08 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $7.08 Median $7.08 Typical High $70.79 | Professional | RR · Rental | $7.08 | $7.08 | $70.79 |
Where Missouri sits
The same service costs 4.4 times more in Kansas than in Vermont. 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· 35th of 51
$70.79
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.