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 $30.20 Median $44.67 Typical High $44.67 | Facility | None | $30.20 | $44.67 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $44.67 Typical High $63.10 | Professional | None | $30.20 | $44.67 | $63.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $309.03 | Facility | None | $67.61 | $67.61 | $309.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $37.15 Median $40.74 Typical High $53.70 | Professional | None | $37.15 | $40.74 | $53.70 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $27.54 Median $29.51 Typical High $42.66 | Professional | UE · Used equipment | $27.54 | $29.51 | $42.66 |
BCBS Kansas City Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $67.61 | Professional | None | $40.74 | $40.74 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $50.12 | Facility | None | $44.67 | $44.67 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $44.67 | Professional | None | $33.11 | $33.11 | $44.67 |
Medica Setting Facility Modifier None Typical Low $30.20 Median $64.57 Typical High $331.13 | Facility | None | $30.20 | $64.57 | $331.13 |
Medica Setting Professional Modifier None Typical Low $25.70 Median $35.48 Typical High $389.05 | Professional | None | $25.70 | $35.48 | $389.05 |
United Setting Facility Modifier None Typical Low $36.31 Median $37.15 Typical High $83.18 | Facility | None | $36.31 | $37.15 | $83.18 |
United Setting Professional Modifier None Typical Low $23.99 Median $33.11 Typical High $46.77 | Professional | None | $23.99 | $33.11 | $46.77 |
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 $15.14 Median $22.39 Typical High $31.62 | Professional | 52 · Reduced service | $15.14 | $22.39 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $8.91 Typical High $12.59 | Professional | 53 · Discontinued | $6.03 | $8.91 | $12.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.57 Median $6.76 Typical High $9.33 | Professional | 55 · Aftercare only | $4.57 | $6.76 | $9.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.02 Median $4.47 Typical High $6.31 | Professional | 56 · Pre-op care only | $3.02 | $4.47 | $6.31 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $3.89 Median $3.89 Typical High $38.90 | Professional | RR · Rental | $3.89 | $3.89 | $38.90 |
Where Missouri sits
The same service costs 2.5 times more in Hawaii than in Florida. 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.