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 $26.92 Median $26.92 Typical High $30.90 | Facility | None | $26.92 | $26.92 | $30.90 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $28.84 Typical High $30.90 | Professional | None | $26.92 | $28.84 | $30.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $245.47 | Facility | None | $52.48 | $52.48 | $245.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $27.54 Median $33.11 Typical High $43.65 | Professional | None | $27.54 | $33.11 | $43.65 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $20.42 Median $20.42 Typical High $36.31 | Professional | UE · Used equipment | $20.42 | $20.42 | $36.31 |
BCBS Kansas City Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $52.48 | Professional | None | $31.62 | $31.62 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $38.90 | Facility | None | $34.67 | $34.67 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $34.67 | Professional | None | $25.70 | $25.70 | $34.67 |
Medica Setting Facility Modifier None Typical Low $26.92 Median $51.29 Typical High $239.88 | Facility | None | $26.92 | $51.29 | $239.88 |
Medica Setting Professional Modifier None Typical Low $19.50 Median $25.70 Typical High $263.03 | Professional | None | $19.50 | $25.70 | $263.03 |
United Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | None | $63.10 | $63.10 | $63.10 |
United Setting Professional Modifier None Typical Low $17.78 Median $25.70 Typical High $38.90 | Professional | None | $17.78 | $25.70 | $38.90 |
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 $13.49 Median $14.13 Typical High $15.49 | Professional | 52 · Reduced service | $13.49 | $14.13 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $5.75 Typical High $6.17 | Professional | 53 · Discontinued | $5.37 | $5.75 | $6.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.07 Median $4.27 Typical High $4.68 | Professional | 55 · Aftercare only | $4.07 | $4.27 | $4.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.69 Median $2.82 Typical High $3.09 | Professional | 56 · Pre-op care only | $2.69 | $2.82 | $3.09 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2.75 Median $2.75 Typical High $27.54 | Professional | RR · Rental | $2.75 | $2.75 | $27.54 |
Where Missouri sits
The same service costs 2.1 times more in Montana 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· 32nd of 51
$28.84
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.