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 $131.83 Median $194.98 Typical High $194.98 | Facility | None | $131.83 | $194.98 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $194.98 Typical High $275.42 | Professional | None | $131.83 | $194.98 | $275.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $1,348.96 | Facility | None | $295.12 | $295.12 | $1,348.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $165.96 Median $177.83 Typical High $234.42 | Professional | None | $165.96 | $177.83 | $234.42 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $125.89 Median $125.89 Typical High $204.17 | Professional | UE · Used equipment | $125.89 | $125.89 | $204.17 |
BCBS Kansas City Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $295.12 | Professional | None | $177.83 | $177.83 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $194.98 | Facility | None | $177.83 | $177.83 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $177.83 | Professional | None | $128.82 | $128.82 | $177.83 |
Medica Setting Facility Modifier None Typical Low $131.83 Median $288.40 Typical High $1,513.56 | Facility | None | $131.83 | $288.40 | $1,513.56 |
Medica Setting Professional Modifier None Typical Low $114.82 Median $154.88 Typical High $1,819.70 | Professional | None | $114.82 | $154.88 | $1,819.70 |
United Setting Facility Modifier None Typical Low $186.21 Median $208.93 Typical High $380.19 | Facility | None | $186.21 | $208.93 | $380.19 |
United Setting Professional Modifier None Typical Low $109.65 Median $144.54 Typical High $213.80 | Professional | None | $109.65 | $144.54 | $213.80 |
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 $66.07 Median $97.72 Typical High $138.04 | Professional | 52 · Reduced service | $66.07 | $97.72 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $38.90 Typical High $54.95 | Professional | 53 · Discontinued | $26.30 | $38.90 | $54.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.95 Median $29.51 Typical High $41.69 | Professional | 55 · Aftercare only | $19.95 | $29.51 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.18 Median $19.50 Typical High $27.54 | Professional | 56 · Pre-op care only | $13.18 | $19.50 | $27.54 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $16.98 Median $16.98 Typical High $169.82 | Professional | RR · Rental | $16.98 | $16.98 | $169.82 |
Where Missouri sits
The same service costs 3.5 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· 33rd of 51
$174
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.