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 $6.31 Median $6.61 Typical High $7.94 | Facility | None | $6.31 | $6.61 | $7.94 |
Aetna Setting Professional Modifier None Typical Low $6.31 Median $6.61 Typical High $10.47 | Professional | None | $6.31 | $6.61 | $10.47 |
Ambetter Setting Professional Modifier None Typical Low $7.94 Median $8.91 Typical High $12.88 | Professional | None | $7.94 | $8.91 | $12.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.91 Median $14.45 Typical High $138.04 | Professional | None | $8.91 | $14.45 | $138.04 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $7.08 Median $10.72 Typical High $10.96 | Professional | UE · Used equipment | $7.08 | $10.72 | $10.96 |
Cigna Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $22.39 | Facility | None | $20.89 | $20.89 | $22.39 |
Cigna Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $20.89 | Professional | None | $15.49 | $15.49 | $20.89 |
Medica Setting Facility Modifier None Typical Low $6.61 Median $14.45 Typical High $89.13 | Facility | None | $6.61 | $14.45 | $89.13 |
Medica Setting Professional Modifier None Typical Low $6.61 Median $9.33 Typical High $87.10 | Professional | None | $6.61 | $9.33 | $87.10 |
United Setting Professional Modifier None Typical Low $5.37 Median $7.76 Typical High $12.59 | Professional | None | $5.37 | $7.76 | $12.59 |
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 $3.09 Median $3.31 Typical High $3.80 | Professional | 52 · Reduced service | $3.09 | $3.31 | $3.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.26 Median $1.32 Typical High $1.51 | Professional | 53 · Discontinued | $1.26 | $1.32 | $1.51 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.93 Median $1.00 Typical High $1.12 | Professional | 55 · Aftercare only | $0.93 | $1.00 | $1.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.62 Median $0.68 Typical High $0.76 | Professional | 56 · Pre-op care only | $0.62 | $0.68 | $0.76 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.41 Median $1.41 Typical High $14.45 | Professional | RR · Rental | $1.41 | $1.41 | $14.45 |
Where Missouri sits
The same service costs 6.2 times more in Wyoming than in North Carolina. 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· 31st of 51
$13.80
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.