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 $53.70 Median $53.70 Typical High $61.66 | Facility | None | $53.70 | $53.70 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $56.23 Typical High $61.66 | Professional | None | $53.70 | $56.23 | $61.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $478.63 | Facility | None | $104.71 | $104.71 | $478.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $53.70 Median $64.57 Typical High $87.10 | Professional | None | $53.70 | $64.57 | $87.10 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $39.81 Median $40.74 Typical High $72.44 | Professional | UE · Used equipment | $39.81 | $40.74 | $72.44 |
BCBS Kansas City Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $104.71 | Professional | None | $63.10 | $63.10 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $63.10 | Facility | None | $57.54 | $57.54 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $57.54 | Professional | None | $41.69 | $41.69 | $57.54 |
Medica Setting Facility Modifier None Typical Low $51.29 Median $102.33 Typical High $478.63 | Facility | None | $51.29 | $102.33 | $478.63 |
Medica Setting Professional Modifier None Typical Low $38.02 Median $51.29 Typical High $512.86 | Professional | None | $38.02 | $51.29 | $512.86 |
United Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
United Setting Professional Modifier None Typical Low $35.48 Median $51.29 Typical High $77.62 | Professional | None | $35.48 | $51.29 | $77.62 |
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 $26.92 Median $28.18 Typical High $30.90 | Professional | 52 · Reduced service | $26.92 | $28.18 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $11.22 Typical High $12.30 | Professional | 53 · Discontinued | $10.72 | $11.22 | $12.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.94 Median $8.51 Typical High $9.12 | Professional | 55 · Aftercare only | $7.94 | $8.51 | $9.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $5.62 Typical High $6.17 | Professional | 56 · Pre-op care only | $5.37 | $5.62 | $6.17 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $5.37 Median $5.37 Typical High $53.70 | Professional | RR · Rental | $5.37 | $5.37 | $53.70 |
Where Missouri sits
The same service costs 2.6 times more in Montana than in Delaware. 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
$56.23
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.