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 $93.33 Median $93.33 Typical High $107.15 | Facility | None | $93.33 | $93.33 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $97.72 Typical High $107.15 | Professional | None | $91.20 | $97.72 | $107.15 |
Ambetter Setting Professional Modifier None Typical Low $123.03 Median $138.04 Typical High $138.04 | Professional | None | $123.03 | $138.04 | $138.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $851.14 | Facility | None | $181.97 | $181.97 | $851.14 |
Anthem BCBS Setting Professional Modifier None Typical Low $83.18 Median $112.20 Typical High $147.91 | Professional | None | $83.18 | $112.20 | $147.91 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $61.66 Median $63.10 Typical High $125.89 | Professional | UE · Used equipment | $61.66 | $63.10 | $125.89 |
BCBS Kansas City Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $181.97 | Professional | None | $109.65 | $109.65 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $125.89 | Facility | None | $102.33 | $102.33 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $102.33 | Professional | None | $74.13 | $74.13 | $102.33 |
Medica Setting Facility Modifier None Typical Low $79.43 Median $177.83 Typical High $741.31 | Facility | None | $79.43 | $177.83 | $741.31 |
Medica Setting Professional Modifier None Typical Low $60.26 Median $89.13 Typical High $912.01 | Professional | None | $60.26 | $89.13 | $912.01 |
United Setting Facility Modifier None Typical Low $87.10 Median $190.55 Typical High $190.55 | Facility | None | $87.10 | $190.55 | $190.55 |
United Setting Professional Modifier None Typical Low $58.88 Median $83.18 Typical High $131.83 | Professional | None | $58.88 | $83.18 | $131.83 |
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 $46.77 Median $48.98 Typical High $53.70 | Professional | 52 · Reduced service | $46.77 | $48.98 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $19.95 Typical High $21.38 | Professional | 53 · Discontinued | $18.62 | $19.95 | $21.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $14.79 Typical High $16.22 | Professional | 55 · Aftercare only | $14.13 | $14.79 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $9.77 Typical High $10.72 | Professional | 56 · Pre-op care only | $9.33 | $9.77 | $10.72 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $8.51 Median $8.51 Typical High $87.10 | Professional | RR · Rental | $8.51 | $8.51 | $87.10 |
Where Missouri sits
The same service costs 2.9 times more in Hawaii than in New Jersey. 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· 25th of 51
$95.50
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.