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 $63.10 | Facility | None | $54.95 | $54.95 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $57.54 Typical High $64.57 | Professional | None | $54.95 | $57.54 | $64.57 |
Ambetter Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None | $81.28 | $81.28 | $81.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $501.19 | Facility | None | $107.15 | $107.15 | $501.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $61.66 Median $64.57 Typical High $87.10 | Professional | None | $61.66 | $64.57 | $87.10 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $44.67 Median $47.86 Typical High $74.13 | Professional | UE · Used equipment | $44.67 | $47.86 | $74.13 |
BCBS Kansas City Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $107.15 | Professional | None | $64.57 | $64.57 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $75.86 | Facility | None | $69.18 | $69.18 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $69.18 | Professional | None | $50.12 | $50.12 | $69.18 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $104.71 Typical High $588.84 | Facility | None | $54.95 | $104.71 | $588.84 |
Medica Setting Professional Modifier None Typical Low $43.65 Median $52.48 Typical High $870.96 | Professional | None | $43.65 | $52.48 | $870.96 |
United Setting Facility Modifier None Typical Low $70.79 Median $83.18 Typical High $144.54 | Facility | None | $70.79 | $83.18 | $144.54 |
United Setting Professional Modifier None Typical Low $40.74 Median $52.48 Typical High $81.28 | Professional | None | $40.74 | $52.48 | $81.28 |
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 $27.54 Median $28.84 Typical High $31.62 | Professional | 52 · Reduced service | $27.54 | $28.84 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $11.75 Typical High $12.59 | Professional | 53 · Discontinued | $10.96 | $11.75 | $12.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $8.71 Typical High $9.55 | Professional | 55 · Aftercare only | $8.32 | $8.71 | $9.55 |
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 $6.46 Median $6.46 Typical High $66.07 | Professional | RR · Rental | $6.46 | $6.46 | $66.07 |
Where Missouri sits
The same service costs 4.4 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· 37th of 51
$64.57
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.