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 $181.97 Median $269.15 Typical High $269.15 | Facility | None | $181.97 | $269.15 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $269.15 Typical High $380.19 | Professional | None | $181.97 | $269.15 | $380.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $1,905.46 | Facility | None | $407.38 | $407.38 | $1,905.46 |
Anthem BCBS Setting Professional Modifier None Typical Low $218.78 Median $234.42 Typical High $331.13 | Professional | None | $218.78 | $234.42 | $331.13 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $165.96 Median $165.96 Typical High $281.84 | Professional | UE · Used equipment | $165.96 | $165.96 | $281.84 |
BCBS Kansas City Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $407.38 | Professional | None | $245.47 | $245.47 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $251.19 | Facility | None | $229.09 | $229.09 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $229.09 | Professional | None | $165.96 | $165.96 | $229.09 |
Medica Setting Facility Modifier None Typical Low $181.97 Median $389.05 Typical High $1,905.46 | Facility | None | $181.97 | $389.05 | $1,905.46 |
Medica Setting Professional Modifier None Typical Low $151.36 Median $208.93 Typical High $2,238.72 | Professional | None | $151.36 | $208.93 | $2,238.72 |
United Setting Facility Modifier None Typical Low $151.36 Median $190.55 Typical High $501.19 | Facility | None | $151.36 | $190.55 | $501.19 |
United Setting Professional Modifier None Typical Low $141.25 Median $199.53 Typical High $288.40 | Professional | None | $141.25 | $199.53 | $288.40 |
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 $91.20 Median $134.90 Typical High $190.55 | Professional | 52 · Reduced service | $91.20 | $134.90 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $53.70 Typical High $75.86 | Professional | 53 · Discontinued | $36.31 | $53.70 | $75.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $40.74 Typical High $57.54 | Professional | 55 · Aftercare only | $27.54 | $40.74 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $26.92 Typical High $38.02 | Professional | 56 · Pre-op care only | $18.20 | $26.92 | $38.02 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $21.88 Median $21.88 Typical High $218.78 | Professional | RR · Rental | $21.88 | $21.88 | $218.78 |
Where Missouri sits
The same service costs 2.7 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· 26th of 51
$229
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.