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 $27.54 Median $27.54 Typical High $30.90 | Facility | None | $27.54 | $27.54 | $30.90 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $27.54 Typical High $30.90 | Professional | None | $25.70 | $27.54 | $30.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $36.31 Median $50.12 Typical High $60.26 | Professional | None | $36.31 | $50.12 | $60.26 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $28.84 Median $37.15 Typical High $41.69 | Professional | UE · Used equipment | $28.84 | $37.15 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $52.48 | Facility | None | $50.12 | $50.12 | $52.48 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $50.12 | Professional | None | $36.31 | $36.31 | $50.12 |
Medica Setting Facility Modifier None Typical Low $26.92 Median $58.88 Typical High $269.15 | Facility | None | $26.92 | $58.88 | $269.15 |
Medica Setting Professional Modifier None Typical Low $27.54 Median $38.02 Typical High $354.81 | Professional | None | $27.54 | $38.02 | $354.81 |
United Setting Professional Modifier None Typical Low $21.88 Median $31.62 Typical High $51.29 | Professional | None | $21.88 | $31.62 | $51.29 |
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 $12.88 Median $13.80 Typical High $15.49 | Professional | 52 · Reduced service | $12.88 | $13.80 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.50 Typical High $6.17 | Professional | 53 · Discontinued | $5.13 | $5.50 | $6.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.89 Median $4.07 Typical High $4.68 | Professional | 55 · Aftercare only | $3.89 | $4.07 | $4.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.57 Median $2.75 Typical High $3.09 | Professional | 56 · Pre-op care only | $2.57 | $2.75 | $3.09 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $5.01 Median $5.01 Typical High $5.50 | Professional | RR · Rental | $5.01 | $5.01 | $5.50 |
Where Missouri sits
The same service costs 4.1 times more in Kansas 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
$38.90
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.