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 $47.86 Median $47.86 Typical High $54.95 | Facility | None | $47.86 | $47.86 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $50.12 Typical High $56.23 | Professional | None | $47.86 | $50.12 | $56.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $426.58 | Facility | None | $93.33 | $93.33 | $426.58 |
Anthem BCBS Setting Professional Modifier None Typical Low $44.67 Median $53.70 Typical High $75.86 | Professional | None | $44.67 | $53.70 | $75.86 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $33.88 Median $37.15 Typical High $63.10 | Professional | UE · Used equipment | $33.88 | $37.15 | $63.10 |
BCBS Kansas City Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $93.33 | Professional | None | $56.23 | $56.23 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $67.61 | Facility | None | $61.66 | $61.66 | $67.61 |
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 $47.86 Median $91.20 Typical High $426.58 | Facility | None | $47.86 | $91.20 | $426.58 |
Medica Setting Professional Modifier None Typical Low $33.88 Median $45.71 Typical High $831.76 | Professional | None | $33.88 | $45.71 | $831.76 |
United Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
United Setting Professional Modifier None Typical Low $31.62 Median $45.71 Typical High $69.18 | Professional | None | $31.62 | $45.71 | $69.18 |
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 $23.99 Median $25.12 Typical High $27.54 | Professional | 52 · Reduced service | $23.99 | $25.12 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $10.00 Typical High $10.96 | Professional | 53 · Discontinued | $9.55 | $10.00 | $10.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.24 Median $7.59 Typical High $8.32 | Professional | 55 · Aftercare only | $7.24 | $7.59 | $8.32 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.79 Median $5.01 Typical High $5.50 | Professional | 56 · Pre-op care only | $4.79 | $5.01 | $5.50 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $4.90 Median $4.90 Typical High $48.98 | Professional | RR · Rental | $4.90 | $4.90 | $48.98 |
Where Missouri sits
The same service costs 2.3 times more in Kansas 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· 36th of 51
$50.12
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.