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 $28.18 Median $28.18 Typical High $32.36 | Facility | None | $28.18 | $28.18 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $28.18 Median $29.51 Typical High $32.36 | Professional | None | $28.18 | $29.51 | $32.36 |
Ambetter Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $46.77 | Professional | None | $36.31 | $36.31 | $46.77 |
Anthem BCBS Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $251.19 | Facility | None | $54.95 | $54.95 | $251.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $30.90 Median $33.11 Typical High $43.65 | Professional | None | $30.90 | $33.11 | $43.65 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $22.91 Median $23.99 Typical High $37.15 | Professional | UE · Used equipment | $22.91 | $23.99 | $37.15 |
BCBS Kansas City Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $54.95 | Professional | None | $33.11 | $33.11 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $43.65 | Facility | None | $38.90 | $38.90 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $38.90 | Professional | None | $28.84 | $28.84 | $38.90 |
Medica Setting Facility Modifier None Typical Low $28.18 Median $52.48 Typical High $295.12 | Facility | None | $28.18 | $52.48 | $295.12 |
Medica Setting Professional Modifier None Typical Low $22.39 Median $26.92 Typical High $537.03 | Professional | None | $22.39 | $26.92 | $537.03 |
United Setting Facility Modifier None Typical Low $35.48 Median $51.29 Typical High $72.44 | Facility | None | $35.48 | $51.29 | $72.44 |
United Setting Professional Modifier None Typical Low $20.42 Median $26.92 Typical High $40.74 | Professional | None | $20.42 | $26.92 | $40.74 |
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 $14.13 Median $14.79 Typical High $16.22 | Professional | 52 · Reduced service | $14.13 | $14.79 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $5.89 Typical High $6.46 | Professional | 53 · Discontinued | $5.62 | $5.89 | $6.46 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.17 Median $4.47 Typical High $4.79 | Professional | 55 · Aftercare only | $4.17 | $4.47 | $4.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.82 Median $2.95 Typical High $3.24 | Professional | 56 · Pre-op care only | $2.82 | $2.95 | $3.24 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $3.24 Median $3.24 Typical High $33.11 | Professional | RR · Rental | $3.24 | $3.24 | $33.11 |
Where Missouri sits
The same service costs 4.7 times more in Hawaii than in Florida. 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
$32.36
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.