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 $38.90 Median $38.90 Typical High $44.67 | Facility | None | $38.90 | $38.90 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $40.74 Typical High $44.67 | Professional | None | $38.90 | $40.74 | $44.67 |
Anthem BCBS Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $354.81 | Facility | None | $75.86 | $75.86 | $354.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $38.90 Median $46.77 Typical High $61.66 | Professional | None | $38.90 | $46.77 | $61.66 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $28.84 Median $30.90 Typical High $52.48 | Professional | UE · Used equipment | $28.84 | $30.90 | $52.48 |
BCBS Kansas City Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $75.86 | Professional | None | $45.71 | $45.71 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $44.67 | Facility | None | $41.69 | $41.69 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $41.69 | Professional | None | $30.90 | $30.90 | $41.69 |
Medica Setting Facility Modifier None Typical Low $37.15 Median $74.13 Typical High $346.74 | Facility | None | $37.15 | $74.13 | $346.74 |
Medica Setting Professional Modifier None Typical Low $28.18 Median $37.15 Typical High $380.19 | Professional | None | $28.18 | $37.15 | $380.19 |
United Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
United Setting Professional Modifier None Typical Low $25.70 Median $37.15 Typical High $56.23 | Professional | None | $25.70 | $37.15 | $56.23 |
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 $19.50 Median $20.42 Typical High $22.39 | Professional | 52 · Reduced service | $19.50 | $20.42 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $8.13 Typical High $8.91 | Professional | 53 · Discontinued | $7.76 | $8.13 | $8.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.89 Median $6.17 Typical High $6.76 | Professional | 55 · Aftercare only | $5.89 | $6.17 | $6.76 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.89 Median $4.07 Typical High $4.47 | Professional | 56 · Pre-op care only | $3.89 | $4.07 | $4.47 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $4.07 Median $4.07 Typical High $40.74 | Professional | RR · Rental | $4.07 | $4.07 | $40.74 |
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· 34th of 51
$40.74
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.