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 $54.95 Median $54.95 Typical High $61.66 | Facility | None | $54.95 | $54.95 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $57.54 Typical High $61.66 | Professional | None | $54.95 | $57.54 | $61.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $489.78 | Facility | None | $107.15 | $107.15 | $489.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $57.54 Median $64.57 Typical High $85.11 | Professional | None | $57.54 | $64.57 | $85.11 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $43.65 Median $44.67 Typical High $72.44 | Professional | UE · Used equipment | $43.65 | $44.67 | $72.44 |
BCBS Kansas City Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $107.15 | Professional | None | $63.10 | $63.10 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $66.07 | Facility | None | $61.66 | $61.66 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $61.66 | Professional | None | $44.67 | $44.67 | $61.66 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $104.71 Typical High $501.19 | Facility | None | $54.95 | $104.71 | $501.19 |
Medica Setting Professional Modifier None Typical Low $40.74 Median $51.29 Typical High $562.34 | Professional | None | $40.74 | $51.29 | $562.34 |
United Setting Facility Modifier None Typical Low $29.51 Median $48.98 Typical High $134.90 | Facility | None | $29.51 | $48.98 | $134.90 |
United Setting Professional Modifier None Typical Low $38.02 Median $51.29 Typical High $79.43 | Professional | None | $38.02 | $51.29 | $79.43 |
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 $26.92 Median $28.84 Typical High $30.90 | Professional | 52 · Reduced service | $26.92 | $28.84 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $11.48 Typical High $12.59 | Professional | 53 · Discontinued | $10.96 | $11.48 | $12.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $8.51 Typical High $9.33 | Professional | 55 · Aftercare only | $8.13 | $8.51 | $9.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.50 Median $5.75 Typical High $6.31 | Professional | 56 · Pre-op care only | $5.50 | $5.75 | $6.31 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $6.03 Median $6.03 Typical High $60.26 | Professional | RR · Rental | $6.03 | $6.03 | $60.26 |
Where Missouri sits
The same service costs 2.4 times more in Montana 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· 32nd of 51
$60.26
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.