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 $43.65 Median $64.57 Typical High $64.57 | Facility | None | $43.65 | $64.57 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $64.57 Typical High $91.20 | Professional | None | $43.65 | $64.57 | $91.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $457.09 | Facility | None | $97.72 | $97.72 | $457.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $56.23 Median $60.26 Typical High $79.43 | Professional | None | $56.23 | $60.26 | $79.43 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $41.69 Median $43.65 Typical High $69.18 | Professional | UE · Used equipment | $41.69 | $43.65 | $69.18 |
BCBS Kansas City Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $97.72 | Professional | None | $58.88 | $58.88 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $66.07 | Facility | None | $60.26 | $60.26 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $60.26 | Professional | None | $43.65 | $43.65 | $60.26 |
Medica Setting Facility Modifier None Typical Low $43.65 Median $93.33 Typical High $512.86 | Facility | None | $43.65 | $93.33 | $512.86 |
Medica Setting Professional Modifier None Typical Low $39.81 Median $52.48 Typical High $645.65 | Professional | None | $39.81 | $52.48 | $645.65 |
United Setting Facility Modifier None Typical Low $64.57 Median $67.61 Typical High $131.83 | Facility | None | $64.57 | $67.61 | $131.83 |
United Setting Professional Modifier None Typical Low $36.31 Median $47.86 Typical High $74.13 | Professional | None | $36.31 | $47.86 | $74.13 |
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 $21.88 Median $32.36 Typical High $45.71 | Professional | 52 · Reduced service | $21.88 | $32.36 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $12.88 Typical High $18.20 | Professional | 53 · Discontinued | $8.71 | $12.88 | $18.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.61 Median $9.77 Typical High $13.80 | Professional | 55 · Aftercare only | $6.61 | $9.77 | $13.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.37 Median $6.46 Typical High $9.12 | Professional | 56 · Pre-op care only | $4.37 | $6.46 | $9.12 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $5.75 Median $5.75 Typical High $57.54 | Professional | RR · Rental | $5.75 | $5.75 | $57.54 |
Where Missouri sits
The same service costs 3.6 times more in Hawaii 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· 39th of 51
$57.54
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.