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 $48.98 Median $48.98 Typical High $56.23 | Facility | None | $48.98 | $48.98 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $51.29 Typical High $56.23 | Professional | None | $48.98 | $51.29 | $56.23 |
Ambetter Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None | $64.57 | $64.57 | $64.57 |
Anthem BCBS Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $446.68 | Facility | None | $95.50 | $95.50 | $446.68 |
Anthem BCBS Setting Professional Modifier None Typical Low $44.67 Median $57.54 Typical High $77.62 | Professional | None | $44.67 | $57.54 | $77.62 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $33.88 Median $41.69 Typical High $60.26 | Professional | UE · Used equipment | $33.88 | $41.69 | $60.26 |
BCBS Kansas City Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $95.50 | Professional | None | $57.54 | $57.54 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $60.26 | Facility | None | $54.95 | $54.95 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $54.95 | Professional | None | $39.81 | $39.81 | $54.95 |
Medica Setting Facility Modifier None Typical Low $42.66 Median $91.20 Typical High $416.87 | Facility | None | $42.66 | $91.20 | $416.87 |
Medica Setting Professional Modifier None Typical Low $31.62 Median $46.77 Typical High $562.34 | Professional | None | $31.62 | $46.77 | $562.34 |
United Setting Facility Modifier None Typical Low $51.29 Median $104.71 Typical High $104.71 | Facility | None | $51.29 | $104.71 | $104.71 |
United Setting Professional Modifier None Typical Low $31.62 Median $44.67 Typical High $69.18 | Professional | None | $31.62 | $44.67 | $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 $24.55 Median $25.70 Typical High $28.18 | Professional | 52 · Reduced service | $24.55 | $25.70 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $10.47 Typical High $11.22 | Professional | 53 · Discontinued | $9.77 | $10.47 | $11.22 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.41 Median $7.76 Typical High $8.51 | Professional | 55 · Aftercare only | $7.41 | $7.76 | $8.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.90 Median $5.13 Typical High $5.62 | Professional | 56 · Pre-op care only | $4.90 | $5.13 | $5.62 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $4.57 Median $6.17 Typical High $45.71 | Professional | RR · Rental | $4.57 | $6.17 | $45.71 |
Where Missouri sits
The same service costs 3.5 times more in Hawaii than in West Virginia. 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· 30th of 51
$48.98
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.