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 $66.07 Median $66.07 Typical High $75.86 | Facility | None | $66.07 | $66.07 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $69.18 Typical High $75.86 | Professional | None | $66.07 | $69.18 | $75.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $602.56 | Facility | None | $128.82 | $128.82 | $602.56 |
Anthem BCBS Setting Professional Modifier None Typical Low $66.07 Median $79.43 Typical High $107.15 | Professional | None | $66.07 | $79.43 | $107.15 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $50.12 Median $50.12 Typical High $89.13 | Professional | UE · Used equipment | $50.12 | $50.12 | $89.13 |
BCBS Kansas City Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $128.82 | Professional | None | $77.62 | $77.62 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $75.86 | Facility | None | $70.79 | $70.79 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $70.79 | Professional | None | $51.29 | $51.29 | $70.79 |
Medica Setting Facility Modifier None Typical Low $63.10 Median $125.89 Typical High $588.84 | Facility | None | $63.10 | $125.89 | $588.84 |
Medica Setting Professional Modifier None Typical Low $46.77 Median $63.10 Typical High $645.65 | Professional | None | $46.77 | $63.10 | $645.65 |
United Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
United Setting Professional Modifier None Typical Low $43.65 Median $63.10 Typical High $95.50 | Professional | None | $43.65 | $63.10 | $95.50 |
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 $33.11 Median $34.67 Typical High $38.02 | Professional | 52 · Reduced service | $33.11 | $34.67 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.80 Typical High $15.14 | Professional | 53 · Discontinued | $13.18 | $13.80 | $15.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $10.47 Typical High $11.48 | Professional | 55 · Aftercare only | $10.00 | $10.47 | $11.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $6.92 Typical High $7.59 | Professional | 56 · Pre-op care only | $6.61 | $6.92 | $7.59 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $6.61 Median $6.61 Typical High $66.07 | Professional | RR · Rental | $6.61 | $6.61 | $66.07 |
Where Missouri sits
The same service costs 2.6 times more in Hawaii 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
$69.18
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.