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 $72.44 Median $72.44 Typical High $83.18 | Facility | None | $72.44 | $72.44 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $75.86 Typical High $83.18 | Professional | None | $72.44 | $75.86 | $83.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $645.65 | Facility | None | $141.25 | $141.25 | $645.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $66.07 Median $85.11 Typical High $114.82 | Professional | None | $66.07 | $85.11 | $114.82 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $52.48 Median $56.23 Typical High $100.00 | Professional | UE · Used equipment | $52.48 | $56.23 | $100.00 |
BCBS Kansas City Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $141.25 | Professional | None | $85.11 | $85.11 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $91.20 | Facility | None | $85.11 | $85.11 | $91.20 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $85.11 | Professional | None | $61.66 | $61.66 | $85.11 |
Medica Setting Facility Modifier None Typical Low $63.10 Median $134.90 Typical High $588.84 | Facility | None | $63.10 | $134.90 | $588.84 |
Medica Setting Professional Modifier None Typical Low $47.86 Median $69.18 Typical High $660.69 | Professional | None | $47.86 | $69.18 | $660.69 |
United Setting Facility Modifier None Typical Low $48.98 Median $64.57 Typical High $154.88 | Facility | None | $48.98 | $64.57 | $154.88 |
United Setting Professional Modifier None Typical Low $45.71 Median $66.07 Typical High $102.33 | Professional | None | $45.71 | $66.07 | $102.33 |
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 $36.31 Median $38.02 Typical High $41.69 | Professional | 52 · Reduced service | $36.31 | $38.02 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $15.14 Typical High $16.60 | Professional | 53 · Discontinued | $14.45 | $15.14 | $16.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $11.48 Typical High $12.30 | Professional | 55 · Aftercare only | $10.96 | $11.48 | $12.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.24 Median $7.59 Typical High $8.32 | Professional | 56 · Pre-op care only | $7.24 | $7.59 | $8.32 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $6.92 Median $6.92 Typical High $69.18 | Professional | RR · Rental | $6.92 | $6.92 | $69.18 |
Where Missouri sits
The same service costs 2.2 times more in Hawaii than in Alabama. 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· 28th of 51
$72.44
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.