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 $40.74 Median $40.74 Typical High $46.77 | Facility | None | $40.74 | $40.74 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $43.65 Typical High $46.77 | Professional | None | $40.74 | $43.65 | $46.77 |
Anthem BCBS Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $371.54 | Facility | None | $79.43 | $79.43 | $371.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $39.81 Median $48.98 Typical High $64.57 | Professional | None | $39.81 | $48.98 | $64.57 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $29.51 Median $30.20 Typical High $54.95 | Professional | UE · Used equipment | $29.51 | $30.20 | $54.95 |
BCBS Kansas City Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $79.43 | Professional | None | $47.86 | $47.86 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $40.74 | Facility | None | $36.31 | $36.31 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $36.31 | Professional | None | $26.92 | $26.92 | $36.31 |
Medica Setting Facility Modifier None Typical Low $38.02 Median $77.62 Typical High $354.81 | Facility | None | $38.02 | $77.62 | $354.81 |
Medica Setting Professional Modifier None Typical Low $28.18 Median $38.90 Typical High $389.05 | Professional | None | $28.18 | $38.90 | $389.05 |
United Setting Facility Modifier None Typical Low $38.90 Median $91.20 Typical High $91.20 | Facility | None | $38.90 | $91.20 | $91.20 |
United Setting Professional Modifier None Typical Low $26.30 Median $38.02 Typical High $57.54 | Professional | None | $26.30 | $38.02 | $57.54 |
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 $20.42 Median $21.38 Typical High $23.44 | Professional | 52 · Reduced service | $20.42 | $21.38 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $8.71 Typical High $9.33 | Professional | 53 · Discontinued | $8.13 | $8.71 | $9.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $6.46 Typical High $7.08 | Professional | 55 · Aftercare only | $6.17 | $6.46 | $7.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $4.37 Typical High $4.68 | Professional | 56 · Pre-op care only | $4.07 | $4.37 | $4.68 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $4.07 Median $4.07 Typical High $41.69 | Professional | RR · Rental | $4.07 | $4.07 | $41.69 |
Where Missouri sits
The same service costs 2.9 times more in Hawaii than in Delaware. 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· 29th of 51
$41.69
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.