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 $10.00 Median $14.79 Typical High $14.79 | Facility | None | $10.00 | $14.79 | $14.79 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $14.79 Typical High $20.89 | Professional | None | $10.00 | $14.79 | $20.89 |
Ambetter Setting Professional Modifier None Typical Low $15.14 Median $16.98 Typical High $16.98 | Professional | None | $15.14 | $16.98 | $16.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $102.33 | Facility | None | $22.39 | $22.39 | $102.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.22 Median $14.13 Typical High $18.62 | Professional | None | $11.22 | $14.13 | $18.62 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $8.51 Median $10.23 Typical High $14.45 | Professional | UE · Used equipment | $8.51 | $10.23 | $14.45 |
BCBS Kansas City Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $22.39 | Professional | None | $13.49 | $13.49 | $22.39 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $15.85 | Facility | None | $14.45 | $14.45 | $15.85 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $14.45 | Professional | None | $10.47 | $10.47 | $14.45 |
Medica Setting Facility Modifier None Typical Low $10.00 Median $19.95 Typical High $102.33 | Facility | None | $10.00 | $19.95 | $102.33 |
Medica Setting Professional Modifier None Typical Low $7.94 Median $10.96 Typical High $125.89 | Professional | None | $7.94 | $10.96 | $125.89 |
United Setting Facility Modifier None Typical Low $12.59 Median $12.88 Typical High $25.70 | Facility | None | $12.59 | $12.88 | $25.70 |
United Setting Professional Modifier None Typical Low $7.41 Median $10.96 Typical High $15.49 | Professional | None | $7.41 | $10.96 | $15.49 |
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 $5.01 Median $7.41 Typical High $10.47 | Professional | 52 · Reduced service | $5.01 | $7.41 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $2.95 Typical High $4.17 | Professional | 53 · Discontinued | $2.00 | $2.95 | $4.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.51 Median $2.24 Typical High $3.16 | Professional | 55 · Aftercare only | $1.51 | $2.24 | $3.16 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.00 Median $1.48 Typical High $2.09 | Professional | 56 · Pre-op care only | $1.00 | $1.48 | $2.09 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.35 Median $1.35 Typical High $14.13 | Professional | RR · Rental | $1.35 | $1.35 | $14.13 |
Where Missouri sits
The same service costs 3.0 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· 26th of 51
$14.13
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.