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 $11.75 Median $11.75 Typical High $13.18 | Facility | None | $11.75 | $11.75 | $13.18 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $11.75 Typical High $13.18 | Professional | None | $10.96 | $11.75 | $13.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.49 Median $39.81 Typical High $54.95 | Professional | None | $15.49 | $39.81 | $54.95 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $12.30 Median $40.74 Typical High $40.74 | Professional | UE · Used equipment | $12.30 | $40.74 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $29.51 | Facility | None | $28.18 | $28.18 | $29.51 |
Cigna Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $28.18 | Professional | None | $20.42 | $20.42 | $28.18 |
Medica Setting Facility Modifier None Typical Low $11.48 Median $25.12 Typical High $114.82 | Facility | None | $11.48 | $25.12 | $114.82 |
Medica Setting Professional Modifier None Typical Low $11.75 Median $16.22 Typical High $154.88 | Professional | None | $11.75 | $16.22 | $154.88 |
United Setting Professional Modifier None Typical Low $9.33 Median $13.49 Typical High $21.88 | Professional | None | $9.33 | $13.49 | $21.88 |
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 $5.50 Median $5.89 Typical High $6.61 | Professional | 52 · Reduced service | $5.50 | $5.89 | $6.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.19 Median $2.34 Typical High $2.63 | Professional | 53 · Discontinued | $2.19 | $2.34 | $2.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.62 Median $1.74 Typical High $2.00 | Professional | 55 · Aftercare only | $1.62 | $1.74 | $2.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.10 Median $1.17 Typical High $1.32 | Professional | 56 · Pre-op care only | $1.10 | $1.17 | $1.32 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $5.50 Median $5.50 Typical High $54.95 | Professional | RR · Rental | $5.50 | $5.50 | $54.95 |
Where Missouri sits
The same service costs 8.7 times more in Hawaii than in Kansas. 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· 29th 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.