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 $14.45 Median $14.45 Typical High $16.22 | Facility | None | $14.45 | $14.45 | $16.22 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $14.45 Typical High $16.22 | Professional | None | $13.49 | $14.45 | $16.22 |
Anthem BCBS Setting Professional Modifier None Typical Low $19.05 Median $38.90 Typical High $38.90 | Professional | None | $19.05 | $38.90 | $38.90 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $15.14 Median $29.51 Typical High $29.51 | Professional | UE · Used equipment | $15.14 | $29.51 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $28.84 | Facility | None | $27.54 | $27.54 | $28.84 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $27.54 | Professional | None | $19.95 | $19.95 | $27.54 |
Medica Setting Facility Modifier None Typical Low $14.13 Median $30.90 Typical High $141.25 | Facility | None | $14.13 | $30.90 | $141.25 |
Medica Setting Professional Modifier None Typical Low $14.45 Median $19.95 Typical High $186.21 | Professional | None | $14.45 | $19.95 | $186.21 |
United Setting Professional Modifier None Typical Low $11.48 Median $16.60 Typical High $27.54 | Professional | None | $11.48 | $16.60 | $27.54 |
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 $6.76 Median $7.24 Typical High $8.13 | Professional | 52 · Reduced service | $6.76 | $7.24 | $8.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $2.88 Typical High $3.24 | Professional | 53 · Discontinued | $2.69 | $2.88 | $3.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.04 Median $2.14 Typical High $2.45 | Professional | 55 · Aftercare only | $2.04 | $2.14 | $2.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.35 Median $1.45 Typical High $1.62 | Professional | 56 · Pre-op care only | $1.35 | $1.45 | $1.62 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $3.89 Median $3.89 Typical High $38.90 | Professional | RR · Rental | $3.89 | $3.89 | $38.90 |
Where Missouri sits
The same service costs 4.4 times more in Wyoming than in Colorado. 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
$20.42
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.