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 $50.12 Median $50.12 Typical High $57.54 | Facility | None | $50.12 | $50.12 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $52.48 Typical High $67.61 | Professional | None | $50.12 | $52.48 | $67.61 |
Ambetter Setting Professional Modifier None Typical Low $69.18 Median $72.44 Typical High $125.89 | Professional | None | $69.18 | $72.44 | $125.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $446.68 | Facility | None | $97.72 | $97.72 | $446.68 |
Anthem BCBS Setting Professional Modifier None Typical Low $52.48 Median $58.88 Typical High $77.62 | Professional | None | $52.48 | $58.88 | $77.62 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $39.81 Median $40.74 Typical High $67.61 | Professional | UE · Used equipment | $39.81 | $40.74 | $67.61 |
BCBS Kansas City Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $97.72 | Professional | None | $57.54 | $57.54 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $60.26 | Facility | None | $57.54 | $57.54 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $57.54 | Professional | None | $42.66 | $42.66 | $57.54 |
Medica Setting Facility Modifier None Typical Low $50.12 Median $95.50 Typical High $467.74 | Facility | None | $50.12 | $95.50 | $467.74 |
Medica Setting Professional Modifier None Typical Low $37.15 Median $47.86 Typical High $588.84 | Professional | None | $37.15 | $47.86 | $588.84 |
United Setting Facility Modifier None Typical Low $43.65 Median $51.29 Typical High $123.03 | Facility | None | $43.65 | $51.29 | $123.03 |
United Setting Professional Modifier None Typical Low $34.67 Median $47.86 Typical High $72.44 | Professional | None | $34.67 | $47.86 | $72.44 |
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 $25.12 Median $26.30 Typical High $28.18 | Professional | 52 · Reduced service | $25.12 | $26.30 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.47 Typical High $11.48 | Professional | 53 · Discontinued | $10.00 | $10.47 | $11.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.41 Median $7.76 Typical High $8.51 | Professional | 55 · Aftercare only | $7.41 | $7.76 | $8.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.01 Median $5.25 Typical High $5.75 | Professional | 56 · Pre-op care only | $5.01 | $5.25 | $5.75 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $5.50 Median $5.50 Typical High $54.95 | Professional | RR · Rental | $5.50 | $5.50 | $54.95 |
Where Missouri sits
The same service costs 2.6 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· 38th 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.