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 $25.70 Median $26.92 Typical High $102.33 | Facility | None | $25.70 | $26.92 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $26.92 Typical High $32.36 | Professional | None | $25.70 | $26.92 | $32.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.92 Median $34.67 Typical High $91.20 | Facility | None | $26.92 | $34.67 | $91.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $25.70 Median $32.36 Typical High $74.13 | Professional | None | $25.70 | $32.36 | $74.13 |
BCBS Kansas City Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $125.89 | Professional | None | $28.18 | $28.18 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $32.36 Median $50.12 Typical High $66.07 | Facility | None | $32.36 | $50.12 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
Medica Setting Facility Modifier None Typical Low $23.99 Median $28.84 Typical High $75.86 | Facility | None | $23.99 | $28.84 | $75.86 |
Medica Setting Professional Modifier None Typical Low $23.99 Median $102.33 Typical High $102.33 | Professional | None | $23.99 | $102.33 | $102.33 |
United Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
United Setting Professional Modifier None Typical Low $23.44 Median $27.54 Typical High $30.90 | Professional | None | $23.44 | $27.54 | $30.90 |
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 $12.88 Median $13.49 Typical High $15.49 | Professional | 52 · Reduced service | $12.88 | $13.49 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.37 Typical High $6.17 | Professional | 53 · Discontinued | $5.13 | $5.37 | $6.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.89 Median $3.98 Typical High $4.68 | Professional | 55 · Aftercare only | $3.89 | $3.98 | $4.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.57 Median $2.69 Typical High $3.09 | Professional | 56 · Pre-op care only | $2.57 | $2.69 | $3.09 |
Ambetter Setting Professional Modifier JZ · No drug discarded Typical Low $25.70 Median $25.70 Typical High $33.88 | Professional | JZ · No drug discarded | $25.70 | $25.70 | $33.88 |
Where Missouri sits
Rates are fairly even across states for this service. 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· 14th of 51
$26.92
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.