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 $138.04 Median $204.17 Typical High $204.17 | Facility | None | $138.04 | $204.17 | $204.17 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $204.17 Typical High $288.40 | Professional | None | $138.04 | $204.17 | $288.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $1,412.54 | Facility | None | $309.03 | $309.03 | $1,412.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $158.49 Median $186.21 Typical High $251.19 | Professional | None | $158.49 | $186.21 | $251.19 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $120.23 Median $131.83 Typical High $213.80 | Professional | UE · Used equipment | $120.23 | $131.83 | $213.80 |
BCBS Kansas City Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $309.03 | Professional | None | $186.21 | $186.21 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $186.21 | Facility | None | $165.96 | $165.96 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $165.96 | Professional | None | $120.23 | $120.23 | $165.96 |
Medica Setting Facility Modifier None Typical Low $138.04 Median $288.40 Typical High $1,380.38 | Facility | None | $138.04 | $288.40 | $1,380.38 |
Medica Setting Professional Modifier None Typical Low $109.65 Median $151.36 Typical High $1,778.28 | Professional | None | $109.65 | $151.36 | $1,778.28 |
United Setting Facility Modifier None Typical Low $134.90 Median $141.25 Typical High $363.08 | Facility | None | $134.90 | $141.25 | $363.08 |
United Setting Professional Modifier None Typical Low $104.71 Median $151.36 Typical High $208.93 | Professional | None | $104.71 | $151.36 | $208.93 |
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 $69.18 Median $102.33 Typical High $144.54 | Professional | 52 · Reduced service | $69.18 | $102.33 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $40.74 Typical High $57.54 | Professional | 53 · Discontinued | $27.54 | $40.74 | $57.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $30.90 Typical High $42.66 | Professional | 55 · Aftercare only | $20.89 | $30.90 | $42.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $20.42 Typical High $28.84 | Professional | 56 · Pre-op care only | $13.80 | $20.42 | $28.84 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $17.78 Median $17.78 Typical High $181.97 | Professional | RR · Rental | $17.78 | $17.78 | $181.97 |
Where Missouri sits
The same service costs 2.8 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· 27th of 51
$182
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.