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 $25.70 Median $25.70 Typical High $29.51 | Facility | None | $25.70 | $25.70 | $29.51 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $26.92 Typical High $29.51 | Professional | None | $25.70 | $26.92 | $29.51 |
Anthem BCBS Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $229.09 | Facility | None | $50.12 | $50.12 | $229.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $25.70 Median $28.18 Typical High $39.81 | Professional | None | $25.70 | $28.18 | $39.81 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $19.05 Median $19.50 Typical High $34.67 | Professional | UE · Used equipment | $19.05 | $19.50 | $34.67 |
BCBS Kansas City Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $50.12 | Professional | None | $30.20 | $30.20 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $37.15 | Facility | None | $33.88 | $33.88 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $33.88 | Professional | None | $24.55 | $24.55 | $33.88 |
Medica Setting Facility Modifier None Typical Low $24.55 Median $48.98 Typical High $229.09 | Facility | None | $24.55 | $48.98 | $229.09 |
Medica Setting Professional Modifier None Typical Low $18.20 Median $24.55 Typical High $245.47 | Professional | None | $18.20 | $24.55 | $245.47 |
United Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
United Setting Professional Modifier None Typical Low $16.98 Median $23.99 Typical High $37.15 | Professional | None | $16.98 | $23.99 | $37.15 |
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 $13.49 Typical High $14.79 | Professional | 52 · Reduced service | $12.88 | $13.49 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.37 Typical High $5.89 | Professional | 53 · Discontinued | $5.13 | $5.37 | $5.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.80 Median $3.98 Typical High $4.37 | Professional | 55 · Aftercare only | $3.80 | $3.98 | $4.37 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.51 Median $2.69 Typical High $2.95 | Professional | 56 · Pre-op care only | $2.51 | $2.69 | $2.95 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2.57 Median $2.57 Typical High $25.70 | Professional | RR · Rental | $2.57 | $2.57 | $25.70 |
Where Missouri sits
The same service costs 3.1 times more in Montana 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· 32nd of 51
$26.92
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.